Individual
MRS. SHARON ANN BENIVEGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Contact information
Practice address
8600 N. STATE RT 91, SUITE 300, PEORIA, IL 61615-7832
(309) 691-6616
(309) 691-2943
Mailing address
8600 N. STATE RT 91, SUITE 300, PEORIA, IL 61615-7832
(309) 691-6616
(309) 691-2943
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000778
IL
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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