Individual
DR. BLYTHE H KITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3100 SYCAMORE ROAD, NORTHERN ILLINOIS UNIVERSITY, DEKALB, IL 60115-9621
(815) 753-1441
Mailing address
3100 SYCAMORE ROAD, NORTHERN ILLINOIS UNIVERSITY, DEKALB, IL 60115-9621
(815) 753-1441
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001314
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4532303
BCBS
IL
Enumeration date
07/10/2009
Last updated
01/11/2012
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