Provider Demographics
NPI:1861627598
Name:YONUSHATIS, ELEANOR (HEARING DT)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:YONUSHATIS
Suffix:
Gender:F
Credentials:HEARING DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 ANN ST
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-3486
Mailing Address - Country:US
Mailing Address - Phone:815-641-7134
Mailing Address - Fax:
Practice Address - Street 1:816 ANN ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-3486
Practice Address - Country:US
Practice Address - Phone:815-641-7134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist