Healthcare Provider Details

I. General information

NPI: 1255859534
Provider Name (Legal Business Name): GABRIELA AMARO DNP, FNPBC, PMHNPBC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 S CALIFORNIA AVE
CHICAGO IL
60632-2016
US

IV. Provider business mailing address

1440 W TAYLOR ST
CHICAGO IL
60607-4623
US

V. Phone/Fax

Practice location:
  • Phone: 773-584-6200
  • Fax:
Mailing address:
  • Phone: 773-364-1805
  • Fax: 773-825-8172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277.003683
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number277003683
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: