Organization Name: | KAREN R GLAY |
NPI Number: | 1235392614 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN RYNISH GLAY (AUDIOLOGIST/OWNER) |
Mailing Address: | 5063 Shoreline Rd Lake Barrington |
State: | IL US |
Postal Code: | 600101700 |
Phone Number: | 8473826010 |
Fax Number: | 8473829243 |
NPI Enumeration Date: | 07/07/2008 |
NPI Last Update Date: | 07/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 231HA2400X |
License Number: | 147000363 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Audiologist |
Taxonomy Specialization: | Assistive Technology Practitioner |
Taxonomy Definition: |