| Spoon River Hearing Services Inc | |
|
180 S Main St, Canton, IL 61520-2608 | |
| (309) 647-0201 | |
| (309) 649-8950 |
| Full Name | Spoon River Hearing Services Inc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 180 S Main St, Canton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003030115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 147000582 (Illinois) | Primary |
| Provider Name | Sandi G Deford |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689704660 PECOS PAC ID: 2860410487 Enrollment ID: I20051103000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Spoon River Hearing Services Inc 811 W Avenue H, Lewistown, IL 61542-8363 Ph: (309) 647-0201 | Spoon River Hearing Services Inc 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 |
Mrs. Sarah E Hyde, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-647-8955 |
Hyde Hearing Center Llc Audiologist Medicare: Medicare Enrolled Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 |
Mrs. Sandi Greene Deford, M.S. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 175 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-647-9762 |