| NPI | 1659568111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY F CONLEY Owner 815-877-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: IL 24086649) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |