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Organization
NELSON AUDIOLOGY, LTD
Active
Organization
NELSON AUDIOLOGY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE BROOM NELSON AU.D. (PRESIDENT OWNER)
(217) 324-2433
Entity
Organization
Contact information
Practice address
220 E RYDER ST, LITCHFIELD, IL 62056-2033
(217) 324-2433
(217) 324-3377
Mailing address
220 E RYDER ST, LITCHFIELD, IL 62056-2033
(217) 324-2433
(217) 324-3377
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000098
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360529808001
—
IL
Enumeration date
01/22/2007
Last updated
03/12/2009
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