Provider Demographics
NPI:1881571008
Name:ESCUDERO-AMBRIZ, DAYANA
Entity type:Individual
Prefix:
First Name:DAYANA
Middle Name:
Last Name:ESCUDERO-AMBRIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DAYANA
Other - Middle Name:
Other - Last Name:ESCUDERO-AMBRIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CF-SLP
Mailing Address - Street 1:2324 S 49TH AVE
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IL
Mailing Address - Zip Code:60804-2447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2324 S 49TH AVE
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IL
Practice Address - Zip Code:60804-2447
Practice Address - Country:US
Practice Address - Phone:708-652-9440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242008335235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist