Organization
SUSAN SACKS AUDIOLOGY SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SACKS (PRESIDENT)
(630) 377-1138
Entity
Organization
Contact information
Practice address
960 N 5TH AVE STE A, ST CHARLES, IL 60174-1205
(630) 377-1138
Mailing address
960 N 5TH AVE STE A, ST CHARLES, IL 60174-1205
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407966278
NPI
IL
01
—
1699724211
NPI
IL
05
—
270867024001
—
IL
05
—
530744404001
—
IL
Enumeration date
10/17/2007
Last updated
03/10/2008
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