Individual
AMBIA CAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W COSSITT AVE, LA GRANGE, IL 60525-2145
(708) 354-5730
Mailing address
1301 W COSSITT AVE, LA GRANGE, IL 60525-2145
(708) 354-5730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.016160
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146.016160
IDFPR
IL
Enumeration date
04/24/2018
Last updated
05/14/2025
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