| Organization Name: | AMY CARNOW, PC |
| NPI Number: | 1447685888 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY CARNOW (OWNER) |
| Mailing Address: | 11 N Skokie Hwy Sute 304 Lake Bluff |
| State: | IL US |
| Postal Code: | 600441796 |
| Phone Number: | 2245449218 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2013 |
| NPI Last Update Date: | 09/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 060011063 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |