Provider Demographics
NPI:1528232097
Name:KORTE, ANITA JOYCE (HIS HEARING INSTR)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:JOYCE
Last Name:KORTE
Suffix:
Gender:F
Credentials:HIS HEARING INSTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 LIBERTY ST.
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450
Mailing Address - Country:US
Mailing Address - Phone:815-942-4403
Mailing Address - Fax:815-942-4669
Practice Address - Street 1:323 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450
Practice Address - Country:US
Practice Address - Phone:815-942-4403
Practice Address - Fax:815-942-4669
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2625237700000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist