Provider Demographics
NPI:1215335021
Name:PHOENIX, ALINA M (HIS)
Entity type:Individual
Prefix:MS
First Name:ALINA
Middle Name:M
Last Name:PHOENIX
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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 1:3354 BIG PINE TRAIL #C
Practice Address - Street 2:AUDIBEL HEARING AIDS
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61822
Practice Address - Country:US
Practice Address - Phone:217-373-1500
Practice Address - Fax:217-398-9482
Is Sole Proprietor?:No
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2982237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist