Individual provider Active NPI

Amber N Guzak, B.A., M.B.A., M.A.

  • Developmental Therapist
  • Crestwood, IL
National Provider Identifier
1720252703
Registry record updated Apr 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
G22001481631 Issued in IL
Practice address
4255 142ND St
Crestwood, IL 60445-2307
Phone
(708) 272-4470
NPI assigned
Apr 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X G22001481631 IL Primary

Addresses

Primary practice location

4255 142ND St
Crestwood, IL 60445-2307

Mailing address

4255 142ND St
Crestwood, IL 60445-2307
Phone (708) 272-4470

Other names 1

  • Ms. Amber N Stevens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts, Master of Arts, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
G22001481631ILMDDevelopmental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208736000000",
    "number": "1720252703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 142ND ST",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604452307",
            "telephone_number": "708-272-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 142ND ST",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604452307",
            "telephone_number": "708-272-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZAK",
        "first_name": "AMBER",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "B.A., M.B.A., M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "G22001481631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "STEVENS",
            "middle_name": "N",
            "prefix": "MS.",
            "credential": "B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crestwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; 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.