NPI 1467520874 · live from the CMS NPI Registry
Mary Colleen Conroy, Au.D.
Audiologist in Warrenville, IL. National Provider Identifier 1467520874, active.
NPI record
| NPI | 1467520874 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 27475 Ferry Road, #109, Warrenville, IL 60555 |
| Practice phone | 630-717-2751 |
| Mailing address | 9071 South 1300 West, Suite 100, West Jordan, UT 84088 |
| Enumerated | December 1, 2006 |
| Last updated | April 28, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 147001062 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.