Healthcare Provider Details
I. General information
NPI: 1033088323
Provider Name (Legal Business Name): AMOREMEDIX MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2025
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 E IRVING PARK RD STE 1D
WOOD DALE IL
60191-1665
US
IV. Provider business mailing address
300 E IRVING PARK RD STE 1D
WOOD DALE IL
60191-1665
US
V. Phone/Fax
- Phone: 331-213-2573
- Fax: 312-820-7358
- Phone: 331-213-2573
- Fax: 312-820-7358
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LAUREN
ELIZABETH
AMORE
Title or Position: FOUNDER AND MANAGING PROVIDER
Credential:
Phone: 312-554-9716