Individual
AMBER M SCHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1201 N CUMMINGS LN, WASHINGTON, IL 61571-9267
(309) 886-2305
(309) 444-3893
Mailing address
1201 N CUMMINGS LN, WASHINGTON, IL 61571-9267
(309) 886-2305
(309) 444-3893
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242001736
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01162441
RR MEDICARE
IL
Enumeration date
12/14/2010
Last updated
06/12/2017
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