Amie Jill Irving

NPI #1932359916 in Groveland, Illinois

Provider Information

NPI Number: 1932359916
Entity Type: Individual
Name: Amie Jill Irving
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 25, 2008
Last Updated: Sep 25, 2008

Practice Location

Address: 479 BESSLER LAKE DR
City: Groveland
State: Illinois
ZIP Code: 61535-9710
Phone: (309) 387-2023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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