Organization
MBS ENVISION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY CAZZOLLI (OPERATIONS MANAGER)
(330) 923-3502
Entity
Organization
Contact information
Practice address
2707 COUNTY ROAD 350 E, MAHOMET, IL 61853-9734
(217) 897-6655
(217) 897-6999
Mailing address
2707 COUNTY ROAD 350 E, MAHOMET, IL 61853-9734
(217) 897-6655
(217) 897-6999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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