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Contact Information

MARY A AMIDEI, REGISTERED NURSE
440 S MCHENRY AVE
CRYSTAL LAKE, IL60014-7147
 Phone: 815-356-5977
 Fax: 815-356-9100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARY A AMIDEI · (Female)

NPI # 1982891792
Status Active
Credentials REGISTERED NURSE
Entity Individual
Enumeration date 09/26/2007
Last updated 09/26/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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