Individual
SPENCER STANESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
207 LANDMARK DR STE A, NORMAL, IL 61761-3195
(309) 268-3200
(309) 268-3213
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 902-6954
(217) 902-7711
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147002015
IL
Other
Enumeration date
08/26/2024
Last updated
05/01/2025
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