| NPI | 1710128640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DACHEPALLI CHANDRA SRINIVAS Audiologist 630-267-1869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 147001152) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-04-20 |