MEDICARE: SARAH USZAK CCC-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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1841636891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH USZAK CCC-SLP

Provider Business Mailing Address
First Line	:	1748 N 214TH LN
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85396-2435
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2506 N CLARK ST # 158
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1848
Country	:	US
Telephone Number	:	312-278-0022
Fax Number	:

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

Provider Enumeration Date	:	05/17/2013
Last Update Date	:	11/17/2021

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Directions to “ SARAH USZAK CCC-SLP” Practice Location

Language	Start Address	Practice Location

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