NPI 1386765295 · live from the CMS NPI Registry
Ingrid Blahut
Audiologist in St Charles, IL. National Provider Identifier 1386765295, active.
NPI record
| NPI | 1386765295 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 2422 W Main St, St Charles, IL 60175 |
| Practice phone | 630-513-5012 |
| Mailing address | 40w325 Carl Sandburg Rd, St Charles, IL 60175 |
| Enumerated | April 2, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 147-000313 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.