Individual
KATHLEEN M FALOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
301 N 8TH ST, PAV 5B, SPRINGFIELD, IL 62701-1041
(217) 545-6099
(217) 545-0253
Mailing address
720 N BOND ST, PO BOX 19639, SPRINGFIELD, IL 62794
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000092
IL
Other
Enumeration date
11/09/2005
Last updated
02/18/2020
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