NPI | 1942501325 |
---|---|
Doing Business As | PORTRAIT HEALTH CENTERS OF BUFFALO GROVE AUDIOLOGY |
Entity Type | Organization |
Authorized Contact | MICHELLE MELISSA MATTINGLY President 847-868-3435 |
Organization Subpart ? | No |
Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: IL 147-000978) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2010-11-16 |