Amy Elizabeth Quam, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.0013762 Issued in IL

Practice address

701 N Green St
McHenry, IL 60050-5517

Phone

(779) 244-1200

NPI assigned

Feb 21, 2019

Last updated

Sep 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Luminate Therapy Group of Illinois, LLC

  • Clinical Social Worker
  • Mount Prospect, IL
  • NPI 1740745934

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1942767371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 N RAND RD APT 107",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600742560",
            "telephone_number": "847-609-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N GREEN ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505517",
            "telephone_number": "779-244-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5135 Trillium Blvd",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601923600",
            "country_code": "US",
            "telephone_number": "224-402-7432 x7424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 Slawin Ct",
            "address_purpose": "LOCATION",
            "city": "Mount Prospect",
            "state": "IL",
            "postal_code": "600562183",
            "country_code": "US",
            "telephone_number": "224-612-8338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAM",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013762",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.0013762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Patricia Pustelnik
• Jill M Putman, PT
• Debra L Puzzo
• Fatima Qadri, MD
• Sara Jafri Qazi, M.D.
• Brandon Queen, DPT
• Elizabeth Jane Quijada, LCSW
• Sarah Quraishi
• Akif Zeshan Qureshi
• Patricia K Raabe, RPH

• Speech-Language Pathologist in McHenry, IL
• Providers in McHenry, 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 14, 2021; 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.