Mccormack, Michael David

Mccormack, Michael David is an sole proprietor health care provider with primary practice located at 4016 N Prospect Road , Peoria IL 61614. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Mccormack, Michael David can be contacted via phone (309) 692-7697.

Contact Information

Primary practice address
4016 N Prospect Road Peoria IL 61614
Phone: (309) 692-7697
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 1230 Wisconsin
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2920 Illinois

Profile Details

NPI number 1811200827
LBN Legal business name Mccormack, Michael David
Credentials AUDIOLOGIST H.I.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2010
Last updated Mar 5th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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