Organization
ILLINOIS STATE UNIVERSITY
Active
Organization
ILLINOIS STATE UNIVERSITY
Active
Other names
Speech & Hearing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI VERTICCHIO (CLINIC DIRECTOR)
(309) 438-3266
Entity
Organization
Contact information
Practice address
275 S UNIVERSITY ST, CAMPUS BOX 4720, NORMAL, IL 61790-4720
(309) 438-8641
(309) 438-0575
Mailing address
275 S UNIVERSITY ST, CAMPUS BOX 4720, NORMAL, IL 61790-4720
(309) 438-8641
(309) 438-0575
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Enumeration date
04/30/2009
Last updated
10/16/2014
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