NPI 1740378074 · live from the CMS NPI Registry
Bloomington Normal Audiology
Audiologist in Bloomington, IL. National Provider Identifier 1740378074, active.
NPI record
| NPI | 1740378074 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1404 Eastland Dr, Suite 203, Bloomington, IL 61701 |
| Practice phone | 309-662-8346 |
| Mailing address | 1404 Eastland Drive, Suite 203, Bloomington, IL 61701 |
| Enumerated | October 11, 2006 |
| Last updated | September 20, 2010 |
| Authorized official | Deborah Pitcher, Audiologist Owner Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 147000437 (IL) |
| Audiologist, Assistive Technology Practitioner | 231HA2400X | 147000437 (IL) |
| Audiologist, Assistive Technology Supplier | 231HA2500X | 147000437 (IL) |
| Audiologist primary | 231H00000X | 147000437 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.