Individual
MS. VIRGINIA SUZANNE JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153-3328
(708) 216-3821
(708) 216-2137
Mailing address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153-3328
(708) 216-3821
(708) 216-2137
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000894
IL
Other
Enumeration date
08/17/2005
Last updated
11/01/2018
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