Organization
PHC OF BUFFALO GROVE AUDIOLOGY
Active
Other names
Portrait Health Centers of Buffalo Grove Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE MELISSA MATTINGLY AUD, CCC-A (PRESIDENT)
(847) 868-3435
Entity
Organization
Contact information
Practice address
150 W HALF DAY RD, SUITE 105, BUFFALO GROVE, IL 60089-6591
(847) 868-3435
(847) 859-5885
Mailing address
150 W HALF DAY RD, SUITE 105, BUFFALO GROVE, IL 60089-6591
(847) 868-3435
(847) 859-5885
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
147-000978
IL
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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