Individual
GENEVIEVE MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 MACOM DR STE 103, NAPERVILLE, IL 60564-9256
(630) 848-9665
(630) 904-4373
Mailing address
1308 MACOM DR STE 103, NAPERVILLE, IL 60564-9256
(630) 904-4327
(630) 904-4373
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001298
IL
Other
Enumeration date
03/17/2008
Last updated
08/27/2021
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