Healthcare Provider Details

I. General information

NPI: 1932035532
Provider Name (Legal Business Name): AMY MARIE NALLON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S WILKE RD
ARLINGTON HEIGHTS IL
60005-1532
US

IV. Provider business mailing address

5938 W THORNDALE AVE
CHICAGO IL
60646-5423
US

V. Phone/Fax

Practice location:
  • Phone: 708-831-1379
  • Fax: 844-240-2516
Mailing address:
  • Phone: 773-850-5788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: