Greene, Avona Eloise

Greene, Avona Eloise is an individual health care provider with primary practice located at 3354 Big Pine Trl Ste C , Champaign IL 61822-1412. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Greene, Avona Eloise can be contacted via phone (217) 373-1500.

Contact Information

Primary practice address
3354 Big Pine Trl Ste C Champaign IL 61822-1412
Phone: (217) 373-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 3345 Illinois

Profile Details

NPI number 1013539162
LBN Legal business name Greene, Avona Eloise
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2020
Last updated May 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013539162 NPPES
Illinois Other 3345 UNITED HEALTH CARE

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