NPI 1316101702 · live from the CMS NPI Registry
Magdalene Marie Boorazanes, Au.D
Audiologist in Chicago, IL. National Provider Identifier 1316101702, active.
NPI record
| NPI | 1316101702 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1855 W Taylor St, Division Of Audiology (Mc 648), Chicago, IL 60612 |
| Practice phone | 312-996-6522 |
| Mailing address | 1855 West Taylor Street, B.76 Eei, Division Of Audiology (Mc 648), Chicago, IL 60612 |
| Enumerated | July 15, 2008 |
| Last updated | August 21, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 147.001284 (IL) |
| Audiologist-Hearing Aid Fitter | 237600000X | 147.001284 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.