Individual
AMBER RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 687-9442
Mailing address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14073319
IL
Other
Enumeration date
01/18/2018
Last updated
01/16/2019
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