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Search › Illinois › 367A00000X

Amanda Bakken, CNM

NPI 1518435130 · on the registry since 2018

Practice

Address
250 Center Dr Ste 101
Vernon Hills, IL 60061
Phone
(847) 918-7050
Fax
(847) 796-4318
Organisation at this address
Scott M Morcott, Md Sc
Passport Enterprises Llc
Passport Enterprises, Llc
American Dental Group, Inc
Drs. Mattana And Kwiecinski
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
367A00000X
367A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-13

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