Provider Demographics
NPI:1487200135
Name:ABUDAYYEH, RAMEY (MS)
Entity Type:Individual
Prefix:
First Name:RAMEY
Middle Name:
Last Name:ABUDAYYEH
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8107 LINDER AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:IL
Mailing Address - Zip Code:60459-2065
Mailing Address - Country:US
Mailing Address - Phone:708-979-0980
Mailing Address - Fax:
Practice Address - Street 1:10800 LYMAN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60415-2250
Practice Address - Country:US
Practice Address - Phone:708-636-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.005416235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist