Individual
LAURA J SCHWENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD.
Contact information
Practice address
3101 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 366-1243
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-8107
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000537
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205363
MEDICARE GROUP
—
01
—
P00002223
RAILROAD MEDICARE
—
Enumeration date
08/02/2006
Last updated
01/05/2022
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