| NPI | 1164612727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYNNETTE J. MONEKA President/Audiologist 708-422-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147000328) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2014-07-01 |