| NPI | 1922289578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY D GADDIS President Owner 815-233-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147000751) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147001121) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2007-11-23 |