Provider Demographics
NPI:1487804944
Name:SIKORA, JAMIE ELLEN (AUD)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:ELLEN
Last Name:SIKORA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MRS
Other - First Name:JAMIE
Other - Middle Name:ELLEN
Other - Last Name:LAVEZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1802 N DIVISION ST STE 218
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-3107
Mailing Address - Country:US
Mailing Address - Phone:815-846-7180
Mailing Address - Fax:815-846-7118
Practice Address - Street 1:1802 N DIVISION ST STE 218
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450-3107
Practice Address - Country:US
Practice Address - Phone:815-846-7180
Practice Address - Fax:815-846-7118
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147-000963237600000X
IL147000963231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter