Basic Information
Provider Information
NPI: 1245583541
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROMERO
FirstName: YAMELEE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: DEPT 3298
Address2:  
City: CAROL STREAM
State: IL
PostalCode: 601323298
CountryCode: US
TelephoneNumber: 5614788770
FaxNumber: 5615987231
Practice Location
Address1: 350 W 49TH ST
Address2:  
City: HIALEAH
State: FL
PostalCode: 330123716
CountryCode: US
TelephoneNumber: 3055885561
FaxNumber: 3055583041
Other Information
ProviderEnumerationDate: 10/24/2012
LastUpdateDate: 10/24/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237700000XAS4882FLY Speech, Language and Hearing Service ProvidersHearing Instrument Specialist 

No ID Information.


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