Organization
AUDIOLOGY ASSOCIATES OF DEERFIELD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERI GOSTOMELSKY AU.D. (DOCTOR OF AUDIOLOGY/OWNER)
(847) 940-9891
Entity
Organization
Contact information
Practice address
400 LAKE COOK RD, SUITE 108, DEERFIELD, IL 60015-5607
(847) 940-9891
Mailing address
400 LAKE COOK RD, SUITE 108, DEERFIELD, IL 60015-5607
(847) 940-9891
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04927037
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/09/2007
Last updated
10/09/2007
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