Individual
DR. SHERI GOSTOMELSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
400 LAKE COOK RD, SUITE 108, DEERFIELD, IL 60015-5607
(847) 945-4907
Mailing address
400 LAKE COOK RD, SUITE 108, DEERFIELD, IL 60015-5607
(847) 945-4907
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04927037
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/31/2006
Last updated
12/04/2007
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