Northern Illinois University

NPI #1407916836 in Dekalb, Illinois

Provider Information

NPI Number: 1407916836
Entity Type: Organization
Organization Name: Northern Illinois University
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHERN ILLINOIS UNIVERSITY
Primary Specialty: Audiologist
Enumeration Date: Dec 8, 2006
Last Updated: Jul 10, 2013

Practice Location

Address: 3100 SYCAMORE RD
Address 2: NIU SPEECH LANGUAGE HEARING CLINIC
City: Dekalb
State: Illinois
ZIP Code: 60115-9621
Phone: (815) 753-1481

Authorized Official

Name: CARISSA NICOLE CALLAHAN
Title: ASSISTANT TO THE DEAN
Phone: (815) 753-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Audiologist	231H00000X	Primary

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