| Mrs Stefanie A Allen, MS | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-3821 | |
| (708) 216-2137 |
| Full Name | Mrs Stefanie A Allen |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114192416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 147.000584 (Illinois) | Primary |
| Provider Name | Loyola University Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Provider Name | Loyola Medical Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stefanie A Allen, MS 40 Willow Rd, Wheeling, IL 60090-6759 Ph: (847) 577-0970 | Mrs Stefanie A Allen, MS 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-3821 |
Dr. Megan Lobner, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Dr. Michael Jm Raffin, PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-3821 Fax: 708-216-2137 | |
Candace R Blank, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Department Of Audiology, Maywood, IL 60153 Phone: 708-216-3821 Fax: 708-216-2137 | |
Dr. Adriana Russ, DOCTOR OF AUDIOLOGY Audiologist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-2419 | |
Dr. Alec Johnson, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave Bldg 150, Maywood, IL 60153 Phone: 708-216-3821 | |
Dr. Victoria Hager, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 |