| NPI | 1053442491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIA T POPOWYCH Audiologist 773-777-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147000241) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147000271) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2012-12-07 |