MEDICARE: DR. LAUREN ELIZABETH AMORE NURSE PRACTITIONER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	209.033933	IL
2	363L00000X	Nurse Practitioner	893622	NV
3	363L00000X	Nurse Practitioner	330417	AZ
4	363L00000X	Nurse Practitioner	17525-33	WI

General Provider Information

NPI Number	:	1568201838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN ELIZABETH AMORE NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	159 LOUISE CT
Second Line	:
City	:	WOOD DALE
State	:	IL
Zip	:	60191-2063
Country	:	US
Telephone Number	:	312-554-9716
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 E IRVING PARK RD STE 1D
Second Line	:
City	:	WOOD DALE
State	:	IL
Zip	:	60191-1665
Country	:	US
Telephone Number	:	630-656-9072
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2024
Last Update Date	:	05/11/2026

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