Individual
MRS. JUDITH ANN IVERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
709 W UNIVERSITY AVE, URBANA, IL 61801-1765
(217) 383-3197
(217) 383-3153
Mailing address
906 W COLUMBIA AVE, CHAMPAIGN, IL 61821-2742
(217) 352-6579
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
IL
Other
Enumeration date
07/15/2006
Last updated
09/06/2023
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