| |
114 N 6th St, Quincy, IL 62301-2904 | |
(217) 223-0204 | |
(217) 223-0274 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 114 N 6th St, Quincy, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699804757 | NPI | - | NPPES |
1528264447 | Other | IL | INDIVIDUAL NPI # |
00132059 | Other | IL | BLUE CROSS/BLUE SHIELD OF IL |
147000603 | Other | IL | DEPT OF PROFESSIONAL REGU |
324426333002 | Medicaid | IL |
Mailing Address | Practice Location Address |
---|---|
114 N 6th St, Quincy, IL 62301-2904 Ph: (217) 223-0204 | 114 N 6th St, Quincy, IL 62301-2904 Ph: (217) 223-0204 |