Individual
MRS. AMY GUNSAULLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
282 PRAIRIE SPRINGS DR, ROUND LAKE, IL 60073-9565
(847) 740-1340
Mailing address
282 PRAIRIE SPRINGS DR, ROUND LAKE, IL 60073-9565
(847) 740-1340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.004400
IL
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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