Kristy Amore, CNP

Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Wheeling, IL

NPI 1295025443 · NPPES record last updated Apr 8, 2011

Key facts

NPI
1295025443
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Nurse Practitioner 363LX0001X
License
209006194 (IL)
Practice address
1083 E Lake Cook Rd
Wheeling, IL 60090-2502
Phone
(847) 808-7070
Fax
(847) 808-7474
NPI assigned
Apr 8, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209006194ILMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Womens Center Past Accepting new patients
Midwest Center for Women'S Health Care, LTD. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 209006194 IL Yes

Addresses

Primary practice location

1083 E Lake Cook Rd
Wheeling, IL 60090-2502

Mailing address

601 Skokie Blvd Ste 400
Northbrook, IL 60062-2820
Phone (847) 562-1410

Other providers in Wheeling, IL

All providers in Wheeling, IL · Obstetrics & Gynecology Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.