Laura Bambrick

Individual provider Active NPI Speech-Language Pathologist · Oswego, IL

NPI 1831925759 · NPPES record last updated Sep 9, 2024

Key facts

NPI
1831925759
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2667227 (IL)
Practice address
1525 Harvey Rd
Oswego, IL 60543-8290
Phone
(630) 636-2468
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2667227ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2667227 IL Yes

Addresses

Primary practice location

1525 Harvey Rd
Oswego, IL 60543-8290

Mailing address

23716 W Deer Chase LN
Naperville, IL 60564-5327
Phone (815) 505-5523

Other providers in Oswego, IL

All providers in Oswego, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.