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Organization

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Organization subpart
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Provider details

NPI number
Authorized official
MR. MICHAEL DAVID MCCORMACK BA MS (OWNER)
(309) 682-7697
Entity
Organization

Contact information

Practice address
4016 N PROSPECT RD, PEORIA, IL 61614-7749
(309) 682-7697
Mailing address
4016 N PROSPECT RD, PEORIA, IL 61614-7749
(309) 682-7697

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2920
IL

Other

Enumeration date
03/27/2017
Last updated
03/27/2017
About Stedi
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