| 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  |