| NPI | 1578650727 |
|---|---|
| Doing Business As | LONG GROVE AUDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | KATHERINE ELIZABETH STEVENS President 847-732-9663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147-000694) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |