Individual
MS. AMANDA Q DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2630 W BRADLEY PL STE A, CHICAGO, IL 60618-4704
(630) 915-9193
Mailing address
5414 W SCHOOL ST, CHICAGO, IL 60641-4122
(773) 875-9931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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