Individual
DR. CARLY ELIZABETH LEGENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3105 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 902-3277
(217) 383-4451
Mailing address
3105 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 902-3277
(217) 383-4451
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001977
IL
Other
Enumeration date
11/06/2023
Last updated
03/05/2024
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