Provider Demographics
NPI:1538565783
Name:HANLEY, JEFFREY D (IL2474 BC-HIS 6946)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:D
Last Name:HANLEY
Suffix:
Gender:M
Credentials:IL2474 BC-HIS 6946
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:733 N. LOGAN #4
Mailing Address - Street 2:AUDIBEL HEARING AIDS
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832
Mailing Address - Country:US
Mailing Address - Phone:217-442-1900
Mailing Address - Fax:217-442-1765
Practice Address - Street 1:107 S. STATE STREET
Practice Address - Street 2:AUDIBEL HEARING AIDS
Practice Address - City:MONTICELLO
Practice Address - State:IL
Practice Address - Zip Code:61856
Practice Address - Country:US
Practice Address - Phone:217-762-2155
Practice Address - Fax:217-762-9062
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2474237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist