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Organization

EIU SPEECH LANGUAGE HEARING CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANK GOLDACKER (CLINIC DIRECTOR)
(217) 581-2712
Entity
Organization

Contact information

Practice address
600 LINCOLN AVE, CHARLESTON, IL 61920-3011
(217) 581-2712
(217) 581-7105
Mailing address
600 LINCOLN AVE, CHARLESTON, IL 61920-3011
(217) 581-2712
(217) 581-7105

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary

Other

Enumeration date
05/20/2009
Last updated
05/20/2009
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