Individual
JOANNA CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
602 W UNIVERSITY AVE, URBANA, IL 61801-2530
(217) 383-3130
Mailing address
PO BOX 6002, URBANA, IL 61803-6002
(217) 326-8300
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001377
IL
Other
Enumeration date
02/16/2011
Last updated
06/05/2012
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