Healthcare Provider Details

I. General information

NPI: 1518118983
Provider Name (Legal Business Name): DEBBIE KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2008
Last Update Date: 10/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

386 PENNSYLVANIA AVE
GLEN ELLYN IL
60137-4323
US

IV. Provider business mailing address

386 PENNSYLVANIA AVE
GLEN ELLYN IL
60137-4323
US

V. Phone/Fax

Practice location:
  • Phone: 630-858-3277
  • Fax: 630-858-6932
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147-000818
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: