Provider Demographics
NPI:1871775460
Name:TOWNE, ERWIN GEORGE (NBC-HIS)
Entity type:Individual
Prefix:MR
First Name:ERWIN
Middle Name:GEORGE
Last Name:TOWNE
Suffix:
Gender:M
Credentials:NBC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 N UNIVERSITY ST
Mailing Address - Street 2:SUITE #110
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-4781
Mailing Address - Country:US
Mailing Address - Phone:309-693-2717
Mailing Address - Fax:309-693-2776
Practice Address - Street 1:5016 N UNIVERSITY ST
Practice Address - Street 2:SUITE #110
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-4781
Practice Address - Country:US
Practice Address - Phone:309-693-2717
Practice Address - Fax:309-693-2776
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL037 2276237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist