Amy Lilly, PMHNP, RN | |
1969 W Ogden Ave, Chicago, IL 60612-3765 | |
(312) 864-6000 | |
Not Available |
Full Name | Amy Lilly |
---|---|
Gender | Female |
Speciality | Registered Nurse - Critical Care Medicine |
Location | 1969 W Ogden Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699494419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209024086 (Illinois) | Secondary |
163WC0200X | Registered Nurse - Critical Care Medicine | 041443651 (Illinois) | Primary |
Entity Name | Access Community Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
Mailing Address | Practice Location Address |
---|---|
Amy Lilly, PMHNP, RN 1864 Fitch Ct, Batavia, IL 60510-8361 Ph: (630) 669-1558 | Amy Lilly, PMHNP, RN 1969 W Ogden Ave, Chicago, IL 60612-3765 Ph: (312) 864-6000 |
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