AMY LOUISE SHORT

CHICAGO, IL
NPI1578251765
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209027113)
Enumeration Date2023-04-26
Last Update Date2023-08-25
Business Address
AMY LOUISE SHORT PMHNP-BC
405 W SUPERIOR ST STE 422
CHICAGO, IL 60654-8561
Phone number: 309-825-5180
Mailing Address
AMY LOUISE SHORT PMHNP-BC
405 W SUPERIOR ST
CHICAGO, IL 60654-8559
Phone number: 309-825-5180
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