Basic Information
Provider Information
NPI: 1881263176
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WESTBROOK
FirstName: ERIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: AUD.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 750 N COMMONS DR STE 200
Address2:  
City: AURORA
State: IL
PostalCode: 605047940
CountryCode: US
TelephoneNumber: 6303035380
FaxNumber: 6303035385
Practice Location
Address1: 3500 PIEDMONT RD NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303051507
CountryCode: US
TelephoneNumber: 4042373311
FaxNumber: 4042619058
Other Information
ProviderEnumerationDate: 06/21/2021
LastUpdateDate: 06/21/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/21/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X004281GAY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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