| Melissa Larson, ST | |
|
7725 N Knoxville Ave, Peoria, IL 61614-2079 | |
| (309) 693-9189 | |
| (309) 693-9946 |
| Full Name | Melissa Larson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 7725 N Knoxville Ave, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467571547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 242-000239 (Illinois) | Primary |
| Provider Name | Osf Multi-specialty Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Larson, ST 7725 N Knoxville Ave, Peoria, IL 61614-2079 Ph: (309) 693-9189 | Melissa Larson, ST 7725 N Knoxville Ave, Peoria, IL 61614-2079 Ph: (309) 693-9189 |
Alexis Sands, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-621-4111 | |
Brenda Frank, CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2727 W Krause Ave, Peoria, IL 61605 Phone: 309-672-6522 Fax: 309-672-6523 | |
Mr. Kristin M Faulkner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 | |
Meghan Keely Moredock, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7213 N Allen Rd, Peoria, IL 61614 Phone: 309-258-0084 | |
Christine Spanhook, S.T. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6961 Fax: 309-655-6472 | |
Ms. Amy J Sigler, M.S., CCC-SLP-L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614 Phone: 309-689-9920 Fax: 309-689-9923 | |
Michelle M Rogers, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-8575 |