Individual
AMY MIZERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-1323
(708) 684-4914
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013913
IL
235Z00000X
Speech-Language Pathologist
242.004221
IL
Other
Enumeration date
09/19/2016
Last updated
09/20/2023
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