| Lester And Rosalie Anixter Center | |
|
2001 N Clybourn Ave Second Floor Chicago IL 60614-4036 | |
| (773) 761-1501 | |
| (773) 977-1240 |
| Full Name | Lester And Rosalie Anixter Center |
|---|---|
| Speciality | Audiologist |
| Location | 2001 N Clybourn Ave, Chicago, Illinois |
| Authorized Official Name and Position | Mary Desmond (SENIOR DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7737611501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lester And Rosalie Anixter Center 6610 N Clark St First Floor Chicago IL 60626-4062 Ph: (773) 761-1501 | Lester And Rosalie Anixter Center 2001 N Clybourn Ave Second Floor Chicago IL 60614-4036 Ph: (773) 761-1501 |
| NPI Number | 1528271582 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 05/13/2016 |
| Medicare PECOS PAC ID | 4183697600 |
|---|---|
| Medicare Enrollment ID | O20040813000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528271582 | NPI | - | NPPES |
| Provider Name | Rose Hart |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336605757 PECOS PAC ID: 8820420516 Enrollment ID: I20191119000640 |
| Provider Name | Melanie Flores |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609558030 PECOS PAC ID: 1153764998 Enrollment ID: I20240208000892 |
| Provider Name | Isabel Guidotti |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902582075 PECOS PAC ID: 8325483910 Enrollment ID: I20240305003830 |
| Provider Name | Marlenne Guadalupe Montanez |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1952142457 PECOS PAC ID: 2769919406 Enrollment ID: I20241219002205 |
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