Provider Demographics
NPI:1871755496
Name:RATERMAN, MELISSA MOUREK (AUD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MOUREK
Last Name:RATERMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2172 BLACKBERRY DR
Mailing Address - Street 2:UNIT 204
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-1084
Mailing Address - Country:US
Mailing Address - Phone:630-200-8978
Mailing Address - Fax:630-262-0397
Practice Address - Street 1:2172 BLACKBERRY DR
Practice Address - Street 2:UNIT 204
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-1084
Practice Address - Country:US
Practice Address - Phone:630-200-8978
Practice Address - Fax:630-262-0397
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL147.001252231H00000X, 231HA2400X, 231HA2500X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter