NPI 1194903849 · live from the CMS NPI Registry
Ann L. Broughton, M.A.
Audiologist in Rockford, IL. National Provider Identifier 1194903849, active.
NPI record
| NPI | 1194903849 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1253 N Alpine Rd, Rockford, IL 61107 |
| Practice phone | 779-696-9201 |
| Mailing address | Po Box 78866, Milwaukee, WI 53278 |
| Enumerated | February 5, 2008 |
| Last updated | March 1, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 147000050 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.