Provider Demographics
NPI:1356438063
Name:WURF, AMY ANN
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ANN
Last Name:WURF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 E BAILEY RD
Mailing Address - Street 2:#203
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-1560
Mailing Address - Country:US
Mailing Address - Phone:630-416-2198
Mailing Address - Fax:
Practice Address - Street 1:5TH AVE. AND ROOSEVELT RD.
Practice Address - Street 2:HINES VA HOSPITAL, BLD. 113
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-3659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind