Individual provider · NPI-1

Amy J. Avila, APN-CRNA

Nurse Anesthetist, Certified Registered · Evanston, IL

NPI number1972248102
StatusActive
Last updated in NPPESMar 25, 2026

Details

NPI
1972248102
Entity type
Individual (NPI-1)
Name
Ms. Amy J. Avila
Credential
APN-CRNA
Sex
Female
Sole proprietor
No
Enumeration date
May 2, 2022
Certification date
Mar 25, 2026
Last updated
Mar 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered209025526ILYes
163W00000X Registered Nurse41350562IL
363L00000X Nurse Practitioner209-025526IL

Practice location

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Phone 847-982-6710 · Fax 847-570-2921

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Phone 847-570-2760 · Fax 847-570-2921

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