Individual
AMANDA MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4908 N ELSTON AVE, CHICAGO, IL 60630-2506
(773) 205-8505
Mailing address
4436 N KENNETH AVE, CHICAGO, IL 60630-4112
(815) 823-5311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.015058
IL
Other
Enumeration date
05/05/2019
Last updated
05/23/2024
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