NPI 1184069890 · live from the CMS NPI Registry
Maureen Lee Broeker, M.A.
Audiologist in Elk Grove Village, IL. National Provider Identifier 1184069890, active.
NPI record
| NPI | 1184069890 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 800 Biesterfield Rd, Brock Building Suite 3008, Elk Grove Village, IL 60007 |
| Practice phone | 847-437-0061 |
| Enumerated | May 8, 2013 |
| Last updated | December 28, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 147-000101 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.