Individual
AMY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26W171 ROOSEVELT ROAD, WHEATON, IL 60187
(630) 909-7370
(630) 909-7371
Mailing address
26W171 ROOSEVELT ROAD, WHEATON, IL 60187
(630) 909-7370
(630) 909-7371
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
AG91260206P
IL
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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