Provider First Line Business Practice Location Address:
I S U SPEECH AND HEARING CLINIC
Provider Second Line Business Practice Location Address:
CAMPUS BOX 4720
Provider Business Practice Location Address City Name:
NORMAL
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61790-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
309-438-8641
Provider Business Practice Location Address Fax Number:
309-438-5221
Provider Enumeration Date:
10/08/2008