Individual
AMY MODRZEJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP/L
Contact information
Practice address
2001 S OAK ST STE B, CHAMPAIGN, IL 61820-0912
(217) 333-2205
Mailing address
2001 S OAK ST STE B, CHAMPAIGN, IL 61820-0912
(217) 333-2205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010434
IL
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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