Provider Demographics
NPI:1184952376
Name:YURA, WENDY WEISS (MS)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:WEISS
Last Name:YURA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 E SAINT ANDREWS LN
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-5080
Mailing Address - Country:US
Mailing Address - Phone:847-948-7088
Mailing Address - Fax:312-630-5337
Practice Address - Street 1:8 E SAINT ANDREWS LN
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5080
Practice Address - Country:US
Practice Address - Phone:847-948-7088
Practice Address - Fax:312-630-5337
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-26
Last Update Date:2009-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147000080231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist