Individual
ANNELIESE HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
8038 MACINTOSH LN, ROCKFORD, IL 61107-5336
(815) 332-6800
(815) 332-6810
Mailing address
8038 MACINTOSH LN, ROCKFORD, IL 61107-5336
(815) 332-6800
(815) 332-6810
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001075
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207622
MEDICARE PRIOR 7/15/2007
IL
Enumeration date
02/08/2006
Last updated
08/01/2025
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