| NPI | 1003010364 |
|---|---|
| Former Legal Business Name | FORMERLY AUDIOLOGICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | MERLE NATHAN Director Of Audiology 847-674-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147000108) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2024-05-28 |