Organization
LAWRENCE CLAYTON & ASSOCIATES, LLC
Active
Other names
Hearing Healthcare of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIGH ANN TACKABERRY AUD (CLINICAL AUDIOLOGIST)
(815) 399-5279
Entity
Organization
Contact information
Practice address
435 N MULFORD RD STE 10, ROCKFORD, IL 61107-5100
(815) 399-5279
(815) 399-3764
Mailing address
435 N MULFORD RD STE 10, ROCKFORD, IL 61107-5100
(815) 399-5279
(815) 399-3764
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
147-000198
IL
Other
Enumeration date
11/16/2007
Last updated
05/14/2013
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