Amanda Medhat

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

235Z00000X Issued in IL

Practice address

617 Hammerschmidt Ave
Lombard, IL 60148-3409

Phone

(630) 827-4251

NPI assigned

Jun 11, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amanda Sine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1235543869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 HAMMERSCHMIDT AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 HAMMERSCHMIDT AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483409",
            "telephone_number": "630-827-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDHAT",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "235Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SINE",
            "credential": "M.S, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Nicole Meadows
• Natalie Mecum, P.A.-C.
• Medcore Equipment LLC
• Brian Medernach, BRIAN MEDERNACH
• Medexpress Urgent Care Illinois, P.C.
• Medical Equipments & Supplies Inc.
• Medical Imaging of Illinois Inc
• Medical Imaging Temporaries Inc
• Medimassage LLC
• Beatriz Medina, ND

• Speech-Language Pathologist in Lombard, IL
• Providers in Lombard, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.