Most Relevant Information
Provider Data
| NPI Number: | 1003347212 |
| Provider Name: | ALYSSA AMIDEI M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 146.013213 |
Most Important Dates
| Enumeration Date: | 03/21/2017 |
| Last Updated: | 03/21/2017 |
Provider Practice Location
15 COMMERCE DR
SUITE 116
GRAYSLAKE
IL
600307807
Practice Location Phone/Fax
| Phone: | 8472237433 |
| Fax: | 8472780458 |
Provider Mailing Location
15 COMMERCE DR
SUITE 116
GRAYSLAKE
IL
600307807
Provider Mailing Phone/Fax
| Phone: | 8472237433 |
| Fax: | 8472780458 |