Basic Information
| Provider Information | |||||||||
| NPI: | 1689961211 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWEENEY-GRANA | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | ANNE | ||||||||
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| Credential: | AU.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1555 BARRINGTON RD | ||||||||
| Address2: | DOCTOR'S BUILDING #1, SUITE 305 | ||||||||
| City: | HOFFMAN ESTATES | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601691019 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1555 BARRINGTON RD | ||||||||
| Address2: | DOCTOR'S BUILDING #1, SUITE 305 | ||||||||
| City: | HOFFMAN ESTATES | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601691019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8477819368 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/04/2011 | ||||||||
| LastUpdateDate: | 02/01/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 147-000500 | IL | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.