| Mitch And Chris Standard Inc. | |
|
515 E Grant St Ste 114, Macomb, IL 61455-4510 | |
| (309) 836-5031 | |
| Not Available |
| Full Name | Mitch And Chris Standard Inc. |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 515 E Grant St Ste 114, Macomb, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164629812 | NPI | - | NPPES |
| 278708668001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 147-000837 (Illinois) | Primary |
| Provider Name | Christine M Standard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467547018 PECOS PAC ID: 1254329964 Enrollment ID: I20040503000792 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitch And Chris Standard Inc. 515 E Grant St Ste 114, Macomb, IL 61455-4510 Ph: (309) 836-5031 | Mitch And Chris Standard Inc. 515 E Grant St Ste 114, Macomb, IL 61455-4510 Ph: (309) 836-5031 |
Mrs. Judy Hammond, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 112 W Jackson St, Macomb, IL 61455 Phone: 309-836-5031 Fax: 309-837-2920 | |
Dr. Christine M. Standard, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 515 E Grant St Ste 114, Macomb, IL 61455 Phone: 309-836-5031 Fax: 309-837-2920 |