Jagasia Audiology, INC
Clinic/Center, Hearing and Speech in Libertyville, IL. Organization (NPI-2).
NPI number1285802108
StatusActive
Last updated in NPPESFeb 13, 2008
Details
- NPI
- 1285802108
- Entity type
- Organization (NPI-2)
- Legal business name
- Jagasia Audiology, INC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2008
- Last updated
- Feb 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0700X | Clinic/Center, Hearing and Speech | 147-001014 | IL | Yes |
Practice location
1199 S Milwaukee AveLibertyville, IL 60048-3716
Phone 847-996-0560 · Fax 847-996-0562
Mailing address
1199 S Milwaukee AveLibertyville, IL 60048-3716
Phone 847-996-0560 · Fax 847-996-0562
Authorized official
Theresa Beth Jagasia
Doctor Of Audiology/President
8479960560
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