| NPI | 1154666196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD BRAUN CFO 847-722-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: WV A-0095) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2018-01-03 |