| Lauren Boaz, | |
|
7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | |
| (309) 589-6800 | |
| Not Available |
| Full Name | Lauren Boaz |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 7717 N Orange Prairie Rd, 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 |
|---|---|---|---|
| 1396466405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 147.001886 (Illinois) | Primary |
| Provider Name | Siu Physicians & Surgeons Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Boaz, 201 E Madison St Ste 328, Springfield, IL 62702-5131 Ph: (217) 545-8000 | Lauren Boaz, 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 Ph: (309) 589-6800 |
Dr. Caroline Marie Rayburn, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000 | |
Tina Marie Leman, MS Audiologist Medicare: Medicare Enrolled Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-689-0312 | |
Sheila Delk, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-683-4120 | |
Kristina Collins, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2630 Fax: 309-655-2603 | |
Dr. Jacey Gail Hoekstra, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-589-4631 | |
Mrs. Sharon Ann Benivegna, MA, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 8600 N. State Rt 91, Suite 300, Peoria, IL 61615 Phone: 309-691-6616 Fax: 309-691-2943 | |
Jill Anne Pruvost, M.S., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-683-4120 |