Provider Demographics
NPI:1790058931
Name:RAMADAN, AMELL (MHS, CCC-SLP/L)
Entity Type:Individual
Prefix:MISS
First Name:AMELL
Middle Name:
Last Name:RAMADAN
Suffix:
Gender:F
Credentials:MHS, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9525 MAYFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2817
Mailing Address - Country:US
Mailing Address - Phone:708-415-3757
Mailing Address - Fax:
Practice Address - Street 1:9525 MAYFIELD AVE
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2817
Practice Address - Country:US
Practice Address - Phone:708-415-3757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-20
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010986235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist