Healthcare Provider Details

I. General information

NPI: 1891645891
Provider Name (Legal Business Name): EARS IN BLOOM AUDIOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 SPRINGFIELD DR STE 180
BLOOMINGDALE IL
60108-2240
US

IV. Provider business mailing address

290 SPRINGFIELD DR STE 180
BLOOMINGDALE IL
60108-2240
US

V. Phone/Fax

Practice location:
  • Phone: 630-286-9384
  • Fax: 331-218-2614
Mailing address:
  • Phone: 630-286-9384
  • Fax: 331-218-2614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: ALISON STICH
Title or Position: OWNER
Credential:
Phone: 630-286-9384