Individual
KELLI BARISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4704 N SHERIDAN RD, PEORIA, IL 61614-5926
(309) 688-4327
Mailing address
4704 N SHERIDAN RD, PEORIA, IL 61614-5926
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3046
IL
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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