MEDICARE: MS. AMY CATHERINE URBANOWSKI M.S., CF-SLP

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	2355S0801X	Speech-Language Assistant		IL

General Provider Information

NPI Number	:	1215161534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY CATHERINE URBANOWSKI M.S., CF-SLP

Provider Business Mailing Address
First Line	:	710 W BUCKINGHAM PL
Second Line	:	APT. 1
City	:	CHICAGO
State	:	IL
Zip	:	60657-0410
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 W BUCKINGHAM PL
Second Line	:	APT. 1
City	:	CHICAGO
State	:	IL
Zip	:	60657-0410
Country	:	US
Telephone Number	:	815-303-2698
Fax Number	:

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

Provider Enumeration Date	:	05/14/2009
Last Update Date	:	05/14/2009

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