Provider Demographics
NPI:1922383850
Name:BRIX, PATRICK ALAN SLOANE (AUD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ALAN SLOANE
Last Name:BRIX
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8996 ARCHER AVE APT 2C
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60480-1227
Mailing Address - Country:US
Mailing Address - Phone:847-406-7588
Mailing Address - Fax:
Practice Address - Street 1:815 N LARKIN AVE STE 100
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-3449
Practice Address - Country:US
Practice Address - Phone:815-272-9943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147-001410231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist