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Organization

PROFESSIONAL AUDIOLOGY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID ANTHONY KLODD PH.D. (DIRECTOR)
(847) 924-2931
Entity
Organization

Contact information

Practice address
800 AUSTIN ST STE 360E, STE 256 EAST, EVANSTON, IL 60202-3454
(847) 674-8761
(847) 674-8764
Mailing address
PO BOX 43, SKOKIE, IL 60076-0043
(847) 674-8761
(847) 674-8764

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
14700269
IL

Other

Enumeration date
04/15/2007
Last updated
09/23/2015
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