Organization
GREGORY J MAAG, MA-CCCA MID AMERICA AUDIOLOGY GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY J MAAG MA-CCCA (PRESIDENT)
(618) 462-7900
Entity
Organization
Contact information
Practice address
1417 WASHINGTON AVE, STE 2, ALTON, IL 62002-3964
(618) 462-7900
Mailing address
1417 WASHINGTON AVE, STE 2, ALTON, IL 62002-3964
(618) 462-7900
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357528445001
—
IL
Enumeration date
01/15/2007
Last updated
08/13/2007
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