Provider Demographics
NPI:1558593665
Name:HILLEBRECHT, ANN MARIE (DT-H)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:HILLEBRECHT
Suffix:
Gender:F
Credentials:DT-H
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:IL
Mailing Address - Zip Code:61439-5015
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:104 S STATE ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:IL
Practice Address - Zip Code:61439-5015
Practice Address - Country:US
Practice Address - Phone:309-299-2162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist