Individual
KELLY C ESPARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
5835 S COTTAGE GROVE AVE, DCAM 4754, CHICAGO, IL 60637-1416
(773) 834-7102
Mailing address
2440 BUDD ST, RIVER GROVE, IL 60171-1735
(312) 213-3075
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001320
IL
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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