Individual
COLLEEN MCKENNA ITTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
225 E CHICAGO AVE, BOX #145, CHICAGO, IL 60611-2991
(312) 227-3072
(312) 227-9478
Mailing address
225 E CHICAGO AVE, BOX #147, CHICAGO, IL 60611-2991
(312) 227-3072
(312) 227-9478
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001376
IL
Other
Enumeration date
02/24/2011
Last updated
05/16/2013
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