Individual
DR. MARYSUE PATRICIA KOELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 655-2632
Mailing address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
IL
Other
Enumeration date
05/16/2023
Last updated
06/10/2024
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