Individual
MS. ANN L. BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1253 N ALPINE RD, ROCKFORD, IL 61107-2201
(779) 696-9201
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000050
IL
Other
Enumeration date
02/05/2008
Last updated
03/01/2021
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