| Lesley Shanks, MA, CF-SLP | |
|
4812 Pfeiffer Rd, Bartonville, IL 61607-2647 | |
| (309) 697-0880 | |
| Not Available |
| Full Name | Lesley Shanks |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4812 Pfeiffer Rd, Bartonville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831668391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 242005099 (Illinois) | Primary |
| Provider Name | Augustana College |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831433416 PECOS PAC ID: 4880824747 Enrollment ID: O20140221000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Lesley Shanks, MA, CF-SLP 912 W Shorewood Ct, Dunlap, IL 61525-9542 Ph: (815) 517-8235 | Lesley Shanks, MA, CF-SLP 4812 Pfeiffer Rd, Bartonville, IL 61607-2647 Ph: (309) 697-0880 |
Sara Rearden, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4812 W. Pfeiffer Road, Bartonville, IL 61607 Phone: 309-697-0880 | |
Megan Livermore, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4812 Pfeiffer Rd, Bartonville, IL 61607 Phone: 309-697-0880 | |
Allison Clare Norris, M.S, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4812 Pfeiffer Rd, Bartonville, IL 61607 Phone: 815-351-9522 |