Individual
BRIAN WAISHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
6600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1775
(708) 371-3090
(708) 371-1529
Mailing address
6600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1775
(708) 371-3090
(708) 371-1529
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
147-00820
IL
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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