Individual
DR. MADISON RAE SUDAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
8038 MACINTOSH LN, ROCKFORD, IL 61107-5336
(815) 332-6800
Mailing address
8038 MACINTOSH LN, ROCKFORD, IL 61107-5336
(815) 332-6800
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001883
IL
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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