# MBS ENVISION, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215230495
- **Authorized official:** MR. ANDY CAZZOLLI (OPERATIONS MANAGER)
- **Authorized official phone:** (330) 923-3502

## Contact information

- **Practice address:** 2707 COUNTY ROAD 350 E, MAHOMET, IL 61853-9734
- **Practice address phone:** (217) 897-6655
- **Practice address fax:** (217) 897-6999
- **Mailing address:** 2707 COUNTY ROAD 350 E, MAHOMET, IL 61853-9734
- **Mailing address phone:** (217) 897-6655
- **Mailing address fax:** (217) 897-6999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 235500000X | Speech/Language/Hearing Specialist/Technologist | — | NULL | Yes |
| 235500000X | Speech/Language/Hearing Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2010
- **Last updated:** 12/10/2010