Candace R Blank, AUD | |
2160 S 1st Ave, Department Of Audiology, Maywood, IL 60153-3328 | |
(708) 216-3821 | |
(708) 216-2137 |
Full Name | Candace R Blank |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194056564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 147000175 (Illinois) | Primary |
Provider Name | Loyola University Medical Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Provider Name | Loyola Medical Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
Mailing Address | Practice Location Address |
---|---|
Candace R Blank, AUD 2160 S 1st Ave, Department Of Audiology, Maywood, IL 60153-3328 Ph: (708) 216-3821 | Candace R Blank, AUD 2160 S 1st Ave, Department Of Audiology, Maywood, IL 60153-3328 Ph: (708) 216-3821 |
Dr. Megan Lobner, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Mrs. Stefanie A Allen, M.S. Audiologist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-3821 Fax: 708-216-2137 | |
Dr. Michael Jm Raffin, PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-3821 Fax: 708-216-2137 | |
Dr. Adriana Russ, DOCTOR OF AUDIOLOGY Audiologist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-2419 | |
Dr. Alec Johnson, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave Bldg 150, Maywood, IL 60153 Phone: 708-216-3821 | |
Dr. Victoria Hager, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 |