Individual
MS. BANSARI AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8039 W BELMONT AVE, UNIT 202, RIVER GROVE, IL 60171
(518) 210-9267
Mailing address
8039 W BELMONT AVE, UNIT 202, RIVER GROVE, IL 60171
(518) 210-9267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.013930
IL
Other
Enumeration date
08/18/2016
Last updated
06/24/2025
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