Sandra Broaddus, HIS is a 
Hearing Instrument Specialist based in Lisle, Illinois. Sandra Broaddus is licensed to practice in Illinois (license number 3172) and her current practice location is 
2781 Maple Ave, Lisle, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(630) 355-5467.
NPI number for Sandra Broaddus is 1619141405 and her current mailing address is 215 Shuman Blvd, Suite 401, Naperville, Illinois. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619141405.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Sandra Broaddus | 
|---|
| Gender | Female | 
|---|
| Speciality | Hearing Instrument Specialist | 
|---|
| Location | 2781 Maple Ave, Lisle, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1619141405
 - Provider Enumeration Date: 04/14/2008
 - Last Update Date: 12/04/2014
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Sandra Broaddus such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1619141405 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 231H00000X | Audiologist  | 147-000688 (Illinois) | Secondary | 
| 237600000X | Audiologist-hearing Aid Fitter  | 147-000688 (Illinois) | Secondary | 
| 237700000X | Hearing Instrument Specialist  | 3172 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Broaddus is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Sandra Broaddus, HIS 215 Shuman Blvd, Suite 401, Naperville, IL 60563-8458 Ph: (630) 355-5467 | Sandra Broaddus, HIS 2781 Maple Ave, Lisle, IL 60532-3280 Ph: (630) 355-5467 | 
		
		 
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