| NPI | 1114038528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN KLIMKEWICZ Office Manager 309-662-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 231H00000X Audiologist | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-04-20 |