Organization
AMY AMANDA PRUSAK
Active
Other names
LIFT EVERY VOICE
Organization subpart
No
Provider details
NPI number
Authorized official
AMY AMANDA PRUSAK SLP (DIRECTOR)
(630) 336-5213
Entity
Organization
Contact information
Practice address
17500 DUVAN DR STE 2B, TINLEY PARK, IL 60477-3671
(708) 400-8348
Mailing address
14341 MAPLE LN, MIDLOTHIAN, IL 60445-2430
(312) 725-6148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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