Provider Demographics
NPI:1861428203
Name:OLMETTI, ADELE M (MA CCC-A FAAA)
Entity type:Individual
Prefix:MS
First Name:ADELE
Middle Name:M
Last Name:OLMETTI
Suffix:
Gender:F
Credentials:MA CCC-A FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9669 KENTON AVE STE 605
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1248
Mailing Address - Country:US
Mailing Address - Phone:847-674-3626
Mailing Address - Fax:847-674-5250
Practice Address - Street 1:9669 KENTON AVE STE 605
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1248
Practice Address - Country:US
Practice Address - Phone:847-674-3626
Practice Address - Fax:847-674-5250
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147-000965237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter