Individual
MR. STEVEN C BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-A
Contact information
Practice address
1020 11TH AVE, GREAT LAKES, IL 60088-3102
(847) 688-5568
(847) 688-4430
Mailing address
2026 OAK TREE TRL, LAKE VILLA, IL 60046-7566
(847) 331-4669
(413) 647-4096
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003412
GA
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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