Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STEPHEN DALE GANNAWAY, M.A.
ActiveMR. STEPHEN DALE GANNAWAY, M.A. is a Audiologist-Hearing Aid Fitter healthcare provider located in JOLIET, Illinois. NPI 1073615589 is currently active in the NPPES registry. Verify at CMS.
Audiologist-Hearing Aid Fitter · JOLIET, IL
Registration Details
- NPI Number
- 1073615589
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2006 (19.899710200609 yrs)
- Last Updated
- Mar 26, 2013
- License
-
147000243 (IL)
Practice Information
- Address
-
3143 W JEFFERSON STJOLIET, IL, 604354733Browse IL providers · Browse ZIP 60435
- Phone
- 8157446898
- Fax
- 8157442486
- Primary Specialty
-
Audiologist-Hearing Aid Fitter
237600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.