Individual
MR. MICHAEL DAVID MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUDIOLOGIST H.I.S.
Contact information
Practice address
4016 N PROSPECT ROAD, PEORIA, IL 61614
(309) 692-7697
Mailing address
4016 N PROSPECT RD, PEORIA, IL 61614-7749
(309) 682-7697
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
1230
WI
237700000X
Hearing Instrument Specialist
Primary
2920
IL
Other
Enumeration date
07/19/2010
Last updated
03/05/2024
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