Organization
INTEGRATED AUDIOLOGY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER WALTER LAROSE M.A. (AUDIOLOGIST)
(312) 730-7339
Entity
Organization
Contact information
Practice address
1034 WARREN AVE, DOWNERS GROVE, IL 60515-3601
(312) 751-9677
(312) 751-9677
Mailing address
600 N DEARBORN ST, #1308, CHICAGO, IL 60654-6284
(312) 751-9677
(312) 751-9677
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.000224
IL
Other
Enumeration date
01/28/2009
Last updated
02/03/2012
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