Illinois State University

NPI #1669616983 in Normal, Illinois

Provider Information

NPI Number
1669616983
Entity Type
Organization
Organization Name
Illinois State University
Primary Specialty
Audiologist-Hearing Aid Fitter
Enumeration Date
Apr 30, 2009
Last Updated
Oct 16, 2014

Practice Location

Address
275 S UNIVERSITY ST
Address 2
CAMPUS BOX 4720
City
Normal
ZIP Code
61790-4720
Phone
(309) 438-8641

Authorized Official

Name
MRS. HEIDI VERTICCHIO
Title
CLINIC DIRECTOR
Phone
(309) 438-3266

Specialties & Taxonomy Codes

Specialty
Audiologist-Hearing Aid Fitter

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