Individual
KELLY CHRISTINE WALDVOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
908 N ELM ST, STE 306, HINSDALE, IL 60521-3635
(630) 323-5256
Mailing address
30 E HURON ST APT 2502, CHICAGO, IL 60611-4704
(708) 870-7163
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001407
IL
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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