Organization
SPECIALIZED AUDIOLOGY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN REGET AU.D. (DOCTOR OF AUDIOLOGY)
(773) 543-8121
Entity
Organization
Contact information
Practice address
350 S NORTHWEST HWY STE 300, PARK RIDGE, IL 60068-4262
(773) 543-8121
(773) 321-0193
Mailing address
350 S NORTHWEST HWY STE 300, PARK RIDGE, IL 60068-4262
(773) 543-8121
(773) 321-0193
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000880
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598984007
PERSONAL NPI NUMBER
—
05
—
357648455001
—
IL
Enumeration date
03/17/2011
Last updated
12/02/2013
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