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Individual

MRS. ANN MARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DOCTOR OF AUDIOLOGY

Contact information

Practice address
207 LANDMARK DR, NORMAL, IL 61761-3195
(309) 268-3200
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
00354
IA
231H00000X
Audiologist
Primary
147001498
IL
231H00000X
Audiologist
237700000X
Hearing Instrument Specialist
00585
IA

Other

Enumeration date
01/09/2006
Last updated
05/02/2022
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