Individual
TAMI LEE IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
532 N ELAM AVE STE A, GREENSBORO, NC 27403-1156
(336) 852-4095
(336) 852-4097
Mailing address
215 SHUMAN BLVD STE 401, NAPERVILLE, IL 60563-8123
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1691
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45269
BCBS NC INDIVIDUAL PROVID
NC
Enumeration date
06/17/2006
Last updated
03/17/2018
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