Provider Demographics
NPI:1538706965
Name:SLOWINSKE, AMY THERESE
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:THERESE
Last Name:SLOWINSKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28855 N FREMONT CENTER RD
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-9412
Mailing Address - Country:US
Mailing Address - Phone:847-388-3700
Mailing Address - Fax:
Practice Address - Street 1:28855 N FREMONT CENTER RD
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-9412
Practice Address - Country:US
Practice Address - Phone:847-388-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist