Individual
AMANDA KOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 MAIN ST, ANTIOCH, IL 60002-1527
(847) 838-8901
Mailing address
2231 AVALON CT S, BUFFALO GROVE, IL 60089-4690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/09/2020
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