MEDICARE: DR. SHENDY NG CEN AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	147.002026	IL

General Provider Information

NPI Number	:	1083421341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHENDY NG CEN AUD

Provider Business Mailing Address
First Line	:	3 E HURON ST STE 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3858
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 E HURON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3838
Country	:	US
Telephone Number	:	312-988-7777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2024
Last Update Date	:	03/13/2025

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