MEDICARE: HEARING AID PROFESSIONALS INC

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
1	237600000X	Audiologist-Hearing Aid Fitter

General Provider Information

NPI Number	:	1255639647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARING AID PROFESSIONALS INC

Provider Business Mailing Address
First Line	:	5000 CHESHIRE PKWY N
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55446-4103
Country	:	US
Telephone Number	:	763-268-4115
Fax Number	:	763-268-4017

Provider Business Practice Location Address
First Line	:	8 S MICHIGAN AVE
Second Line	:	STE 1108
City	:	CHICAGO
State	:	IL
Zip	:	60603-3357
Country	:	US
Telephone Number	:	312-346-1136
Fax Number	:	312-853-2293

Authorized Official
Title or Position	:	OWNER
Name	:	LATA JAIN
Credential	:	AUD
Telephone Number	:	847-452-9659

Provider Enumeration Date	:	03/09/2011
Last Update Date	:	03/09/2011

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