Provider Demographics
NPI:1215161534
Name:URBANOWSKI, AMY CATHERINE (MS, CF-SLP)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:CATHERINE
Last Name:URBANOWSKI
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 W BUCKINGHAM PL
Mailing Address - Street 2:APT. 1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-0410
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:710 W BUCKINGHAM PL
Practice Address - Street 2:APT. 1
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-0410
Practice Address - Country:US
Practice Address - Phone:815-303-2698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant