NPI 1184875189

Associated Otolaryngologists of Decatur

Organisation Hearing Aid Equipment Decatur, IL

Practice location

Address: 101 W McKinley Ave 101w McKinley Ave, Decatur, IL 62526-3286
Phone: (217) 876-3372
Fax: (217) 876-3345
Mailing address: PO Box 2170 101w McKinley Ave, Decatur, IL 62524-2170

Authorised official

Name: Steve Mark Sobol
Title: Ent Doctor
Phone: (217) 876-3372

Registered specialties

Hearing Aid Equipment Primary

Suppliers Taxonomy 332S00000X Licence 042006194 (IL)

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Registry record

NPI: 1184875189
Entity type: Organization
NPI issued: 8 Oct 2008
Record last updated: 8 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.