Individual
AMY KURTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2335 W BELDEN AVE, CHICAGO, IL 60647-3222
(847) 445-1118
Mailing address
2335 W BELDEN, CHICAGO, IL 60647
(847) 445-1118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635150
BLUE SHIELD PROVIDER NUM
IL
Enumeration date
01/09/2007
Last updated
07/08/2007
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