| NPI | 1124128616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD CHARLES BLAHUT Audiologist/Owner 847-888-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147-000188) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2020-08-22 |