SearchIllinoisPediatric Nurse Practitioner

Amanda Macke, APN

NPI 1407309941 · on the registry since 2016

Practice

Address
1200 West State Street
Rockford, IL 61102
Phone
(815) 490-1600
Fax
(815) 490-1881
Organisation at this address
Walgreen Co
Laboratory Corporation Of America
Crusaders Central Clinic Association
Crusaders Central Clinic Association
Crusaders Central Clinic Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address
172

Registry record

Primary taxonomy
Pediatric Nurse Practitioner
363LP0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois