Lisa R Gibbs, AUD | |
611 W. Park St., Audiology, Urbana, IL 61801-2500 | |
(217) 383-3130 | |
Not Available |
Full Name | Lisa R Gibbs |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 611 W. Park St., Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285077578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 147000511 (Illinois) | Primary |
Provider Name | Carle Health Care Incorporated |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
---|---|
Lisa R Gibbs, AUD 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6941 | Lisa R Gibbs, AUD 611 W. Park St., Audiology, Urbana, IL 61801-2500 Ph: (217) 383-3130 |
Ms. Danielle Edmondson, AUDIOLOGIST Audiologist Medicare: Not Enrolled in Medicare Practice Location: 810 W University Ave, Urbana, IL 61801 Phone: 217-326-2911 Fax: 217-344-8047 | |
Mrs. Judith Ann Iversen, M.A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 709 W University Ave, Urbana, IL 61801 Phone: 217-383-3197 Fax: 217-383-3153 | |
Joanna Capobianco, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3130 | |
Ms. Lee A Rotz, MA CCC-A, FAAA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-4375 Fax: 217-326-2336 | |
Tara Iddings, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3311 | |
Ms. Julie A Wirth, AUDIOLOGIST Audiologist Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-4375 Fax: 217-326-2336 |