| NPI | 1851547129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ELIZABETH JACOBSON Audiologist 309-686-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: IL 147001286) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |