Provider Demographics
NPI:1275327553
Name:ROHDE, AMY (LPMT, MT-B C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:ROHDE
Suffix:
Gender:
Credentials:LPMT, MT-B C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10129 S FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-1642
Mailing Address - Country:US
Mailing Address - Phone:916-201-3086
Mailing Address - Fax:
Practice Address - Street 1:657 E GOLF RD STE 301
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4071
Practice Address - Country:US
Practice Address - Phone:872-228-9711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL144.000176225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist