Healthcare Provider Details

I. General information

NPI: 1871829085
Provider Name (Legal Business Name): LORI ANN ADER-STEINHAUSER M.S., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORI ANN KELLEY AUD

II. Dates (important events)

Enumeration Date: 10/22/2009
Last Update Date: 02/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 W COURT ST SUITE 406
KANKAKEE IL
60901-3679
US

IV. Provider business mailing address

1000 REMINGTON BLVD SUITE 100
BOLINGBROOK IL
60440-5114
US

V. Phone/Fax

Practice location:
  • Phone: 815-937-2141
  • Fax: 630-914-2469
Mailing address:
  • Phone: 630-914-2953
  • Fax: 630-914-2469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147-000964
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: