Provider Demographics
NPI:1609035047
Name:TOMEK, ALINE RENEE (AUD)
Entity Type:Individual
Prefix:DR
First Name:ALINE
Middle Name:RENEE
Last Name:TOMEK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1549 SILVER VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:DE WITT
Mailing Address - State:IA
Mailing Address - Zip Code:52742-1062
Mailing Address - Country:US
Mailing Address - Phone:563-221-1909
Mailing Address - Fax:
Practice Address - Street 1:639 38TH ST
Practice Address - Street 2:
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201-2210
Practice Address - Country:US
Practice Address - Phone:309-794-7350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000701231H00000X
IL147.001291231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist