Organization
NORTHWESTERN UNIVERSITY AUDIOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. SUMITRAJIT DHAR PHD (ASSOCIATE CHAIR)
(847) 491-2470
Entity
Organization
Contact information
Practice address
2240 CAMPUS DR, EVANSTON, IL 60208-3550
(847) 491-3165
(847) 467-0410
Mailing address
2240 CAMPUS DR, EVANSTON, IL 60208-3550
(847) 491-3165
(847) 467-0410
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
231HA2400X
Assistive Technology Practitioner Audiologist
—
—
231HA2500X
Assistive Technology Supplier Audiologist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
2355A2700X
Audiology Assistant
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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