Individual
DR. MELODY LYNNE HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1253 N. ALPINE ROAD, ROCKFORD, IL 61107-2201
(779) 696-9201
(815) 397-9667
Mailing address
2673 HICKORY AVE, ROCKFORD, IL 61114-6209
(815) 494-4282
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3536440905001
—
IL
Enumeration date
07/21/2006
Last updated
04/21/2022
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