AMANDA KOSTIC

CHICAGO, IL
NPI1629648225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.023424)
Enumeration Date2021-06-28
Last Update Date2021-06-28
Business Address
AMANDA KOSTIC NP-C
222 W ONTARIO ST STE 310
CHICAGO, IL 60654-3621
Phone number: 312-880-9697
Mailing Address
AMANDA KOSTIC NP-C
222 W ONTARIO ST STE 310
CHICAGO, IL 60654-3621
Phone number: 312-880-9697