NPI 1013381128

Jacob Daniel Marlow, HID

Practitioner Hearing Instrument Specialist Bloomington, IL

Practice location

Address: 2412 E Washington St Suite 2, Bloomington, IL 61704-4497
Phone: (309) 662-0622
Fax: (309) 662-3384
Mailing address: 18649 N Apache Path, Danvers, IL 61732-9050

Registered specialties

Hearing Instrument Specialist Primary

Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence 3215 (IL)

Other Hearing Instrument Specialist providers in Illinois →

Registry record

NPI: 1013381128
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2015
Record last updated: 1 Dec 2015

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.