Organization
UNIVERSITY OF ILLINOIS
Active
Parent organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other names
Department of Speech and Hearing Science, University of Illinois Audiology Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Authorized official
CLARION MENDES CCC-SLP (DIRECTOR OF CLINICAL EDUCATION)
(217) 333-2205
Entity
Organization
Contact information
Practice address
2001 S OAK ST STE B, CHAMPAIGN, IL 61820-0912
(217) 333-2205
(217) 333-2206
Mailing address
2001 S OAK ST STE B, CHAMPAIGN, IL 61820-0912
(217) 333-2205
(217) 333-2206
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.000339
IL
Other
Enumeration date
08/03/2006
Last updated
08/27/2019
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