Amy Amanda Prusak

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

AMY AMANDA PRUSAK

Doing business as

Lift Every Voice

Practice address

17500 Duvan Dr Ste 2B
Tinley Park, IL 60477-3671

Phone

(708) 400-8348

NPI assigned

Dec 19, 2019

Last updated

Dec 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Amanda Prusak, SLP

Title

Director

Phone

(630) 336-5213

Specialties & licenses 1

Addresses

Other names 1

• LIFT EVERY VOICE Doing business as

Locations

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1346888435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14341 MAPLE LN",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604452430",
            "telephone_number": "312-725-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 DUVAN DR STE 2B",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773671",
            "telephone_number": "708-400-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY AMANDA PRUSAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "PRUSAK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-336-5213",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFT EVERY VOICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Tinley Park, IL
• Providers in Tinley Park, 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 Dec 19, 2019; 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.