Individual
MR. DENNIS LEE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
321 LAKE LAND BLVD, MATTOON, IL 61938-3905
(217) 234-6426
(217) 234-9853
Mailing address
2408 PRAIRIE AVE, MATTOON, IL 61938-2623
(217) 234-6426
(217) 234-9853
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0334
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332B00000X
—
IL
Enumeration date
04/16/2007
Last updated
07/09/2007
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