Provider Demographics
NPI:1437555687
Name:ZANONI, JEFFREY A (BC - HIS)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:A
Last Name:ZANONI
Suffix:
Gender:M
Credentials:BC - HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 N LOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-4362
Mailing Address - Country:US
Mailing Address - Phone:217-442-1900
Mailing Address - Fax:217-442-1765
Practice Address - Street 1:101 COURT STREET
Practice Address - Street 2:AUDIBEL HEARING AIDS
Practice Address - City:ROBINSON
Practice Address - State:IL
Practice Address - Zip Code:62454
Practice Address - Country:US
Practice Address - Phone:618-544-8300
Practice Address - Fax:618-544-8330
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3084237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist