Associated Otolaryngologists Of Decatur
Hearing Aid Equipment in Decatur, IL. Organization (NPI-2).
NPI number1184875189
StatusActive
Last updated in NPPESOct 8, 2008
Details
- NPI
- 1184875189
- Entity type
- Organization (NPI-2)
- Legal business name
- Associated Otolaryngologists Of Decatur
- Organization subpart
- No
- Enumeration date
- Oct 8, 2008
- Last updated
- Oct 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332S00000X | Hearing Aid Equipment | 042006194 | IL | Yes |
Practice location
101 W McKinley Ave101w McKinley Ave
Decatur, IL 62526-3286
Phone 217-876-3372 · Fax 217-876-3345
Mailing address
Po Box 2170101w McKinley Ave
Decatur, IL 62524-2170
Phone 217-876-3372 · Fax 217-876-3345
Authorized official
Steve Mark Sobol
Ent Doctor
2178763372
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