| Wallace Center For Hearing, Llc | |
|
4127 Progress Blvd, Peru, IL 61354-1112 | |
| (815) 223-3201 | |
| (815) 223-3202 |
| Full Name | Wallace Center For Hearing, Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 4127 Progress Blvd, Peru, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700558467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Beth Ann Wallace |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871846204 PECOS PAC ID: 7719926351 Enrollment ID: I20210315002269 |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Center For Hearing, Llc 3436 E 325th Rd, La Salle, IL 61301-9734 Ph: (815) 866-2084 | Wallace Center For Hearing, Llc 4127 Progress Blvd, Peru, IL 61354-1112 Ph: (815) 223-3201 |
Mrs. Beth Ann Wallace, M.S. Audiologist Medicare: May Accept Medicare Assignments Practice Location: 4127 Progress Blvd, Peru, IL 61354 Phone: 815-223-3201 Fax: 815-223-3202 | |
Kendra Lenee Theodosopoulos, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2200 Marquette Rd Ste 115, Peru, IL 61354 Phone: 815-223-1100 Fax: 815-223-4105 |