Amanda Nicole Stachurski
Nurse Practitioner - Neonatal
5721 S Maryland Ave
Chicago
, Illinois 60637-1425
Amanda Nicole Stachurski
Nurse Practitioner - Neonatal
5721 S Maryland Ave
Chicago
, Illinois 60637-1425
(630) 229-7744
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Amanda Nicole Stachurski
- 1224 W Van Buren St Apt 726
- Chicago, IL
- Zip : 60607-3367
- Phone : (630) 229-7744
Second Address
- Amanda Nicole Stachurski
- 5721 S Maryland Ave
- Chicago, IL
- Zip : 60637-1425
- Phone : (888) 824-0200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 209.023706 | IL |
National Provider Identifier
| NPI | 1124792734 |
|---|---|
| Provider Name | Amanda Nicole Stachurski |
| First Address | Chicago, IL 60607-3367 |
| Second Address | Chicago, IL 60637-1425 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.