NPI 1124093927 · live from the CMS NPI Registry
Patti Lynn Ally, MS
Audiologist-Hearing Aid Fitter in Peoria, IL. National Provider Identifier 1124093927, active.
NPI record
| NPI | 1124093927 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist-Hearing Aid Fitter 237600000X |
| Practice location | 5401 N Knoxville, Suite 116, Peoria, IL 61614 |
| Practice phone | 309-282-0887 |
| Mailing address | 6 Victory Dr, Liberty, MO 64068 |
| Enumerated | February 23, 2006 |
| Last updated | June 23, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist-Hearing Aid Fitter primary | 237600000X | 147000515 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.