Erica Lynn Pennell, | |
3303 20th St, Rockford, IL 61109-2312 | |
(815) 229-2155 | |
Not Available |
Full Name | Erica Lynn Pennell |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3303 20th St, 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 |
---|---|---|---|
1184133647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 146013827 (Illinois) | Primary |
Provider Name | Columbus Speech And Hearing Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992724868 PECOS PAC ID: 5597666743 Enrollment ID: O20040120000333 |
Mailing Address | Practice Location Address |
---|---|
Erica Lynn Pennell, 17025 Eagles Nest Cir, Strongsville, OH 44136-6218 Ph: (440) 821-1630 | Erica Lynn Pennell, 3303 20th St, Rockford, IL 61109-2312 Ph: (815) 229-2155 |
Kathleen A Franzen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4820 Carol Ct, Rockford, IL 61108 Phone: 815-229-2176 Fax: 815-921-0303 | |
Inna Natanova, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5222 Spring Creek Rd, Rockford, IL 61114 Phone: 224-619-5666 | |
Elizabeth Dorothy Young, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1750 Madron Rd, Rockford, IL 61107 Phone: 815-229-2492 | |
Lois Holmes Vatch, M.A./CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3470 N Alpine Rd, Rockford, IL 61114 Phone: 815-639-1015 | |
Bethany Halbrader, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-381-7721 | |
Mrs. Judith L Ruch, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 650 N Main St, Rockford, IL 61103 Phone: 815-965-6745 Fax: 815-968-9563 | |
Ms. Patrina Celeste Minella, PEL ILLINOIS SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 501 7th St, Rockford, IL 61104 Phone: 815-966-3000 |