Most Relevant Information
Provider Data
| NPI Number: | 1003449836 |
| Provider Name: | PATRICIA MUDGE |
| Entity Type: | Individual |
| Taxonomy Code: | 237700000X |
| Specialty: | Hearing Instrument Specialist |
| License Number: | 2755 |
Most Important Dates
| Enumeration Date: | 02/20/2020 |
| Last Updated: | 02/20/2020 |
Provider Practice Location
645 1ST ST
LA SALLE
IL
613012418
Practice Location Phone/Fax
| Phone: | 8152242445 |
| Fax: |
Provider Mailing Location
645 1ST ST
LA SALLE
IL
613012418
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |