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Individual

THERESA MARGARET HALL-FERCHAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.CCC-A

Contact information

Practice address
7350 W COLLEGE DR, SUITE 208, PALOS HEIGHTS, IL 60463-1149
(708) 361-9199
(708) 361-9299
Mailing address
7350 W COLLEGE DR, SUITE 208, PALOS HEIGHTS, IL 60463-1149
(708) 361-9199
(708) 361-9299

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000267
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147000267
LICENSE NUMBER
IL
Enumeration date
09/25/2008
Last updated
09/18/2014
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