Organization
EASTER SEALS UCP
Active
Organization
EASTER SEALS UCP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN ELIZABETH JACOBSON AU.D (AUDIOLOGIST)
(309) 686-1177
Entity
Organization
Contact information
Practice address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 686-1177
(309) 686-7722
Mailing address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 686-1177
(309) 686-7722
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
147001286
IL
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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