Samantha R Glicken, AUD

NPI #1891501573 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1891501573
Entity Type: Individual
Name: Samantha R Glicken, AUD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: AUD
Enumeration Date: Dec 6, 2024
Last Updated: Dec 13, 2024

Practice Location

Address: 430 PENNSYLVANIA AVE STE 330
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-4464
Phone: (630) 545-7650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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