Individual
DR. JACQUELINE ROSE SOUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 15-200, CHICAGO, IL 60611-5967
(312) 695-8182
(312) 695-4303
Mailing address
675 N SAINT CLAIR ST STE 15-200, CHICAGO, IL 60611-5967
(312) 695-8182
(312) 695-4303
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001735
IL
Other
Enumeration date
11/04/2019
Last updated
01/23/2023
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