Individual
DR. REBECCA ELLEN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D. CCCA FAAA
Contact information
Practice address
4704 N SHERIDAN RD, PEORIA, IL 61614-5926
(309) 688-4327
(309) 688-6846
Mailing address
4704 N SHERIDAN RD, PEORIA, IL 61614-5926
(309) 688-4327
(309) 688-6846
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
147000280
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033216395
NPI TYPE 2 BUSINESS IDENTIFIER
IL
Enumeration date
08/19/2010
Last updated
08/19/2010
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