Provider Demographics
NPI:1265225668
Name:AZEM RUMZIS, ANDREA SABRIJE (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:SABRIJE
Last Name:AZEM RUMZIS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10532 S KOLMAR AVE
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-5216
Mailing Address - Country:US
Mailing Address - Phone:708-642-2348
Mailing Address - Fax:
Practice Address - Street 1:10532 S KOLMAR AVE
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-5216
Practice Address - Country:US
Practice Address - Phone:708-642-2348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA17950235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist