Individual
TARA IDDINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
602 W UNIVERSITY AVE, URBANA, IL 61801-2530
(217) 383-3311
Mailing address
602 W UNIVERSITY AVE, URBANA, IL 61801-2530
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001132
IL
Other
Enumeration date
02/21/2008
Last updated
06/11/2012
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