Individual
CARMELA V AMPLAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4835 N KEDZIE AVE, CHICAGO, IL 60625-5206
(773) 596-5500
(773) 596-5501
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-017784
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070-017784
LICENSE NUMBER
IL
Enumeration date
04/11/2011
Last updated
09/07/2021
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