Individual
EMILY WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3105 FIELDS SOUTH DR, AUDIOLOGY DEPARTMENT, CHAMPAIGN IL, IL 61822
(217) 902-3277
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 902-5291
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001894
IL
Other
Enumeration date
07/22/2022
Last updated
12/02/2022
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