Individual
TRICIA HENEGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
806 CENTRAL AVE, SUITE 103, HIGHLAND PARK, IL 60035-5613
(847) 433-7617
(847) 681-7000
Mailing address
2031 TOWER DR, STE D8, GLENVIEW, IL 60026-7803
(312) 263-7171
(312) 263-5438
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000742
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147000742
DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION
IL
Enumeration date
12/15/2009
Last updated
10/18/2016
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