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Amy Dattalo
NPI 1710119029 · on the registry since 2009 · sole proprietor
Practice
- Address
- 538 Commanche Trl
Wheeling, IL 60090 - Phone
- (847) 208-9082
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-08-20
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