Individual
MICHELE K. JONES-FASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
698 FEATHERSTONE RD, ROCKFORD, IL 61107-6303
(815) 398-3277
(815) 484-7001
Mailing address
698 FEATHERSTONE RD, ROCKFORD, IL 61107-6303
(815) 398-3277
(815) 484-7001
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000937
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147000937
—
IL
Enumeration date
01/20/2006
Last updated
09/21/2011
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