MR. Steven C Bourgeois, MA, CCC-A

NPI #1053399345 in Great Lakes, Illinois

Provider Information

NPI Number: 1053399345
Entity Type: Individual
Name: MR. Steven C Bourgeois, MA, CCC-A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: MA, CCC-A
Enumeration Date: Jan 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1020 11TH AVE
City: Great Lakes
State: Illinois
ZIP Code: 60088-3102
Phone: (847) 688-5568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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