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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANDRA BROADDUS, H.I.S.

Active

SANDRA BROADDUS, H.I.S. is a Hearing Instrument Specialist healthcare provider located in LISLE, Illinois. NPI 1619141405 is currently active in the NPPES registry. Verify at CMS.

Hearing Instrument Specialist · LISLE, IL

Registration Details

NPI Number
1619141405
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2008 (18.303769630084 yrs)
Last Updated
Dec 4, 2014
Licenses
147-000688 (IL)
147-000688 (IL)
3172 (IL)

Practice Information

Address
2781 MAPLE AVE
LISLE, IL, 605323280
Browse IL providers · Browse ZIP 60532
Phone
6303555467
Primary Specialty
Hearing Instrument Specialist
237700000X
Additional Specialty
Hearing Instrument Specialist

Other Hearing Instrument Specialist Providers in LISLE, IL

Name Credential NPI
JASON FRADETTE 1124411467
MOHAMMED ABOULILAH HIS 1386520153
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.