Individual
DR. ALYSSA DALE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
101 W MCKINLEY AVE, DECATUR, IL 62526-3286
(217) 876-3682
Mailing address
101 WEST MCKINELY AVE, DECATUR, IL 62526
(217) 876-3382
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001513
IL
Other
Enumeration date
07/11/2017
Last updated
09/13/2017
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