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Contact Information

LAURA J AMIDON, NP
221 N LAFAYETTE ST
MOUNT PULASKI, IL62548-1231
 Phone: 217-792-5375
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LAURA J AMIDON · (Female)

NPI Number 1508967837
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/26/2006
Last updated 01/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 209-000540
  • IL License # 277000386
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
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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