Provider Demographics
NPI:1568630473
Name:BLAIR, JANELLE I (HEARING SPECIALIST)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:I
Last Name:BLAIR
Suffix:
Gender:F
Credentials:HEARING SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 N COMMONS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-7940
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:630-303-5385
Practice Address - Street 1:15440 N 99TH AVE
Practice Address - Street 2:STE 17
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-1962
Practice Address - Country:US
Practice Address - Phone:623-977-0506
Practice Address - Fax:623-971-9498
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD4303237700000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist