Healthcare Provider Details

I. General information

NPI: 1467770941
Provider Name (Legal Business Name): SARAH LYNN FILER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH LYNN CHIPMAN AU.D.

II. Dates (important events)

Enumeration Date: 05/09/2010
Last Update Date: 03/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8038 MACINTOSH LN
ROCKFORD IL
61107-5336
US

IV. Provider business mailing address

PO BOX 5944
ROCKFORD IL
61125-0944
US

V. Phone/Fax

Practice location:
  • Phone: 815-332-6800
  • Fax: 815-332-6810
Mailing address:
  • Phone: 815-332-6800
  • Fax: 815-332-6810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number550-156
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147.001385
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: