Provider Demographics
NPI:1891835260
Name:REED, ALICE NADINE (MA)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:NADINE
Last Name:REED
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 N YORK RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2950
Mailing Address - Country:US
Mailing Address - Phone:630-654-1391
Mailing Address - Fax:630-654-1967
Practice Address - Street 1:950 N YORK RD
Practice Address - Street 2:SUITE 109
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2950
Practice Address - Country:US
Practice Address - Phone:630-654-1391
Practice Address - Fax:630-654-1967
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147-000211231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04079OtherNATIONAL EAR CARE PLAN
IL04079OtherNATIONAL EAR CARE PLAN
IL04079OtherNATIONAL EAR CARE PLAN