MEDICARE: MR. JAMES L VANHOOSE

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	237700000X	Hearing Instrument Specialist	HA 7455	CA

General Provider Information

NPI Number	:	1780963272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES L VANHOOSE

Provider Business Mailing Address
First Line	:	2800 W HIGGINS RD
Second Line	:	STE. 895
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-2071
Country	:	US
Telephone Number	:	847-843-1900
Fax Number	:	847-843-1901

Provider Business Practice Location Address
First Line	:	3100 OAK RD
Second Line	:	SUITE 260
City	:	WALNUT CREEK
State	:	CA
Zip	:	94597-7746
Country	:	US
Telephone Number	:	925-937-2535
Fax Number	:	925-937-2963

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2011
Last Update Date	:	11/23/2011

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