MEDICARE: AMY MARIE NALLON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1932035532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MARIE NALLON

Provider Business Mailing Address
First Line	:	5938 W THORNDALE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-5423
Country	:	US
Telephone Number	:	773-850-5788
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 S WILKE RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-1532
Country	:	US
Telephone Number	:	708-831-1379
Fax Number	:	844-240-2516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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Directions to “ AMY MARIE NALLON ” Practice Location

Language	Start Address	Practice Location

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