NPI 1104833664 · live from the CMS NPI Registry
Michael Brown, Audiologist
Audiologist in Champaign, IL. National Provider Identifier 1104833664, active.
NPI record
| NPI | 1104833664 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 3101 Fields South Dr, Champaign, IL 61822 |
| Practice phone | 217-366-1243 |
| Mailing address | 101 W University Ave, Champaign, IL 61820 |
| Enumerated | August 1, 2006 |
| Last updated | January 5, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 147000441 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.