Provider First Line Business Practice Location Address:
211 RACHEL COOPER HALL
Provider Second Line Business Practice Location Address:
SPEECH AND HEARING CLINIC IL STATE UNIVERSITY
Provider Business Practice Location Address City Name:
NORMAL
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61791-4720
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:
03/03/2008