Healthcare Provider Details

I. General information

NPI: 1891372751
Provider Name (Legal Business Name): AMY MARIE SEIBERT DNP, APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1442 MERCHANT DR
ALGONQUIN IL
60102-5917
US

IV. Provider business mailing address

3305 OAK KNOLL RD
CARPENTERSVILLE IL
60110-3209
US

V. Phone/Fax

Practice location:
  • Phone: 224-241-8427
  • Fax: 815-242-4469
Mailing address:
  • Phone: 224-828-2207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number277.004739
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: