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NPI Code Detail

MEDICARE: DR. COURTNEY ANNE NEIL PARMLEY AU.D., CCC-A

MEDICARE: DR. COURTNEY ANNE NEIL PARMLEY AU.D., CCC-A
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
1231H00000XAudiologist147001491IL

General Provider Information

NPI Number : 1487070538
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COURTNEY ANNE NEIL PARMLEY AU.D., CCC-A
Provider Business Mailing Address
First Line : 611 W. PRAK ST.
Second Line : FAPC
City : URBANA
State : IL
Zip : 61801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 207 LANDMARK DR STE A
Second Line :
City : NORMAL
State : IL
Zip : 61761-3195
Country : US
Telephone Number : 309-268-3200
Fax Number : 309-663-2956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2014
Last Update Date : 02/04/2021

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