Provider Demographics
NPI:1891118659
Name:KURZAWA, HALEY BARRETT (HIS)
Entity Type:Individual
Prefix:MISS
First Name:HALEY
Middle Name:BARRETT
Last Name:KURZAWA
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 SHUMAN BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8458
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:978-313-6824
Practice Address - Street 1:333 BISHOPS WAY
Practice Address - Street 2:125
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-6226
Practice Address - Country:US
Practice Address - Phone:262-782-3004
Practice Address - Fax:262-782-3007
Is Sole Proprietor?:No
Enumeration Date:2014-01-30
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1519-60237700000X
IL3071237700000X
TX80645237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist