Provider Demographics
NPI:1861909608
Name:STROLE, CHRIS
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:STROLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:MATTOON
Mailing Address - State:IL
Mailing Address - Zip Code:61938-5262
Mailing Address - Country:US
Mailing Address - Phone:217-258-8000
Mailing Address - Fax:217-258-8003
Practice Address - Street 1:1721 MARION AVE
Practice Address - Street 2:
Practice Address - City:MATTOON
Practice Address - State:IL
Practice Address - Zip Code:61938-5262
Practice Address - Country:US
Practice Address - Phone:217-258-8000
Practice Address - Fax:217-258-8003
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist