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Organization
EQUILIBRIUM TESTING CORPORATION
Active
Organization
EQUILIBRIUM TESTING CORPORATION
Active
Other names
Hearing Treatment Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER WALTER LAROSE M.A. (DIRECTOR OF AUDIOLOGY)
(312) 751-9677
Entity
Organization
Contact information
Practice address
600 N DEARBORN ST, SUITE 1308, CHICAGO, IL 60654-6284
(312) 751-9677
(312) 751-9677
Mailing address
600 N DEARBORN ST, SUITE 1308, CHICAGO, IL 60654-6284
(312) 751-9677
(312) 751-9677
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.000224
IL
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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