Provider Demographics
NPI:1649527854
Name:MARX, LAURA BETH (AUD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:BETH
Last Name:MARX
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:750 N COMMONS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-7940
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:630-303-5385
Practice Address - Street 1:5400 W ELM ST
Practice Address - Street 2:STE 205
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-4010
Practice Address - Country:US
Practice Address - Phone:815-344-6200
Practice Address - Fax:847-741-8694
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001580231H00000X, 237600000X
WI706-156237600000X, 231H00000X
OHA.01813237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter