Amy Archer, MD
Individual provider Active NPI Rheumatology Physician · Chicago, IL
NPI 1528296431 · NPPES record last updated Jul 27, 2012
Key facts
- NPI
- 1528296431
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 036.130102 (IL)
- Practice address
- 675 N Saint Clair St
Suite 14-100 (Div of Rheumatology)
Chicago, IL 60611-5975 - Phone
- (312) 695-8628
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.130102 | IL | MD | Rheumatology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 036.130102 | IL | Yes |
Addresses
Primary practice location
675 N Saint Clair St
Suite 14-100 (Div of Rheumatology)
Chicago, IL 60611-5975
Mailing address
675 N Saint Clair St
Suite 14-100 (Div of Rheumatology)
Chicago, IL 60611-5975
Other providers in Chicago, IL
- Archer Family Dental LTD
- Archer Family Medical Group, LLC
- Archer Foot Clinic
- Archer Heights Healthcare LLC
- Archer Kedzie Imaging LLC
- Shakeeta Rockell Archer
- Stephen Lawrence Archer
- Tonika Michelle Archer
- Virginia Parker Archer
- Ernesto Archeval
All providers in Chicago, IL · Rheumatology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.