Provider Demographics
NPI:1538663455
Name:SHEHORN, JAMES (AUDIOLOGIST)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:SHEHORN
Suffix:
Gender:M
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BURR RIDGE PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-0877
Mailing Address - Country:US
Mailing Address - Phone:630-321-3555
Mailing Address - Fax:630-908-5159
Practice Address - Street 1:101 BURR RIDGE PKWY STE 150
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-0877
Practice Address - Country:US
Practice Address - Phone:630-321-3555
Practice Address - Fax:630-908-5159
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001825231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist