Individual
MISS AMY LYNN DATTALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 COMMANCHE TRL, WHEELING, IL 60090-5156
(847) 208-9082
Mailing address
538 COMMANCHE TRL, WHEELING, IL 60090-5156
(847) 208-9082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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