Individual
AMANDA S O'BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 N LA GRANGE RD, LA GRANGE PARK, IL 60526-1520
(708) 354-7300
Mailing address
2626 N LAKEVIEW AVE APT 1906, CHICAGO, IL 60614-1813
(708) 548-4311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007571
IL
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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