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Contact Information

STACY CHALMERS, MS CCCA
816 S ELDORADO RD STE 1
BLOOMINGTON, IL61704-6035
 Phone: 309-662-8346
 Fax: 309-662-0479
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
 

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for STACY CHALMERS · (Female)

NPI Number 1104914423
Status Active
Credentials MS CCCA
Entity Individual
Enumeration date 10/11/2006
Last updated 01/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 147-001087
  • IL License # 147001087
  • IL Other 147001087 LICENSE
  • IL Other P00038723 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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