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Individual

AMANDA NATHANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
1500 N CLYBOURN AVE UNIT C105, CHICAGO, IL 60610-2295
(312) 242-1665
Mailing address
107 BURNSIDE CT, VERNON HILLS, IL 60061-1403
(224) 723-0770

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146016792
IL

Other

Enumeration date
04/08/2024
Last updated
04/08/2024
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