Long Grove Audiology | |
247 Robert Parker Coffin Rd, Long Grove, IL 60047-9616 | |
(847) 732-9663 | |
Not Available |
Full Name | Long Grove Audiology |
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Type | Facility |
Speciality | Audiologist |
Location | 247 Robert Parker Coffin Rd, Long Grove, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1578650727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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231H00000X | Audiologist | (Illinois) | Primary |
Provider Name | Katherine E Stevens |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1437248952 PECOS PAC ID: 2860492410 Enrollment ID: I20070104000102 |
Provider Name | Michelle M Mattingly |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1427364876 PECOS PAC ID: 4385824226 Enrollment ID: I20110209000487 |
Provider Name | Laura E Boe Knoll |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1780729079 PECOS PAC ID: 7315043536 Enrollment ID: I20180214001310 |
Provider Name | Devan Keesling |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1467951731 PECOS PAC ID: 6608136411 Enrollment ID: I20180215001178 |
Mailing Address | Practice Location Address |
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Long Grove Audiology 515 Killarney Pass Cir, Mundelein, IL 60060-1260 Ph: (847) 732-9663 | Long Grove Audiology 247 Robert Parker Coffin Rd, Long Grove, IL 60047-9616 Ph: (847) 732-9663 |
Ilene S Fischman, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4116 Rfd, Long Grove, IL 60047 Phone: 847-682-4356 |