Dr Madison Rae Sudaj, AUD | |
8038 Macintosh Ln, Rockford, IL 61107-5336 | |
(815) 332-6800 | |
Not Available |
Full Name | Dr Madison Rae Sudaj |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 8038 Macintosh Ln, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437880804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 147001883 (Illinois) | Primary |
Provider Name | Ksb Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Provider Name | Center For Sight & Hearing |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053487942 PECOS PAC ID: 9032119193 Enrollment ID: O20070115000019 |
Provider Name | Katherine Shaw Bethea Hospital |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
Mailing Address | Practice Location Address |
---|---|
Dr Madison Rae Sudaj, AUD 8038 Macintosh Ln, Rockford, IL 61107-5336 Ph: (815) 332-6800 | Dr Madison Rae Sudaj, AUD 8038 Macintosh Ln, Rockford, IL 61107-5336 Ph: (815) 332-6800 |
Connect Hearing, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3957 N Mulford Rd, Suite 2, Rockford, IL 61114 Phone: 815-637-1777 Fax: 815-637-1776 | |
Dr. Janet L. Depalma, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 435 N Mulford Rd, Suite #10a, Rockford, IL 61107 Phone: 815-399-5279 Fax: 815-399-3764 | |
Emelina Ida Johnson, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 8038 Macintosh Ln, Rockford, IL 61107 Phone: 815-332-6800 Fax: 815-332-6810 | |
Ms. Ann L. Broughton, M.A. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201 | |
Susan A Marshall, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201 | |
Michele K. Jones-fassett, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 698 Featherstone Rd, Rockford, IL 61107 Phone: 815-398-3277 Fax: 815-484-7001 | |
Dr. Corinne Nicole Leonard, AU.D., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4920 E State St Ste 6, Rockford, IL 61108 Phone: 779-423-6910 |