Individual
MRS. MARY LYNN CALDERONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.C.C.C.A.
Contact information
Practice address
360 E LOSEY ST, GALESBURG, IL 61401-2843
(309) 343-4448
Mailing address
582 N SEMINARY ST, GALESBURG, IL 61401-3739
(309) 343-9393
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.000705
IL
Other
Enumeration date
08/12/2008
Last updated
07/15/2011
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