Provider Demographics
NPI:1023359437
Name:AMESQUITA, RIKKI KAREN (SP/L)
Entity Type:Individual
Prefix:MRS
First Name:RIKKI
Middle Name:KAREN
Last Name:AMESQUITA
Suffix:
Gender:F
Credentials:SP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2058 DORVAL DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-2110
Mailing Address - Country:US
Mailing Address - Phone:630-548-2472
Mailing Address - Fax:
Practice Address - Street 1:2058 DORVAL DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-2110
Practice Address - Country:US
Practice Address - Phone:630-548-2472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-10
Last Update Date:2013-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.000198235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist