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NPI Code Detail

MEDICARE: ALICIA HIZEL

MEDICARE: ALICIA HIZEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist146013850IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114416674
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA HIZEL
Provider Business Mailing Address
First Line : 372 MESSENGER CIR
Second Line :
City : NORTH AURORA
State : IL
Zip : 60542-1805
Country : US
Telephone Number : 630-461-5931
Fax Number :
Provider Business Practice Location Address
First Line : 1601 E MAIN ST
Second Line :
City : ST CHARLES
State : IL
Zip : 60174-2431
Country : US
Telephone Number : 630-461-5931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2018
Last Update Date : 05/09/2018

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Directions to “ ALICIA HIZEL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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