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Contact Information

SANDRA BROADDUS, H.I.S.
2781 MAPLE AVE
LISLE, IL60532-3280
 Phone: 630-355-5467
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hearing Instrument Specialist

237700000X
 

Audiologist

231H00000X 64 Audiologist
 

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for SANDRA BROADDUS · (Female)

NPI Number 1619141405
Status Active
Credentials H.I.S.
Entity Individual
Enumeration date 04/14/2008
Last updated 12/04/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 147-000688
  • IL License # 3172
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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