Organization
INSTITUTE OF ACCENT MODIFICATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY INGRAM M.A., M.S (PRESIDENT)
(312) 635-0099
Entity
Organization
Contact information
Practice address
125 S WACKER DR, SUITE 300, CHICAGO, IL 60606-4424
(312) 635-0099
(888) 203-5297
Mailing address
28 E JACKSON BLVD, SUITE #10-A850, CHICAGO, IL 60604-2263
(312) 635-0099
(888) 203-5297
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
147000563
IL
Other
Enumeration date
02/17/2010
Last updated
03/08/2010
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