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Organization

NELSON AUDIOLOGY, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHANIE BROOM NELSON AU.D. (PRESIDENT OWNER)
(217) 324-2433
Entity
Organization

Contact information

Practice address
220 E RYDER ST, LITCHFIELD, IL 62056-2033
(217) 324-2433
(217) 324-3377
Mailing address
220 E RYDER ST, LITCHFIELD, IL 62056-2033
(217) 324-2433
(217) 324-3377

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000098
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
360529808001
IL
Enumeration date
01/22/2007
Last updated
03/12/2009
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