Individual
AMY FUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 W OAK ST, CHICAGO, IL 60610-7325
(312) 705-5100
Mailing address
400 N MCCLURG CT APT 3307, CHICAGO, IL 60611-4387
(630) 450-1217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
05/27/2025
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