| NPI | 1740378074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH S PITCHER Audiologist Owner Manager 309-662-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147000437) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IL 147000437) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: IL 147000437) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: IL 147000437) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-09-20 |