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Contact Information

AMY L BLACK, DT
6448 N OAK PARK AVE
2N
CHICAGO, IL60631-2018
 Phone: 847-347-6283
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for AMY L BLACK · (Female)

NPI Number 1942336672
Status Active
Credentials DT
Entity Individual
Enumeration date 02/26/2007
Last updated 09/25/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # AB46220100P
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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