Healthcare Provider Details
I. General information
NPI: 1710813837
Provider Name (Legal Business Name): CLARITY: TINNITUS AND HEARING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3901 GE RD STE 2
BLOOMINGTON IL
61704-4195
US
IV. Provider business mailing address
3901 GE RD STE 2
BLOOMINGTON IL
61704-4195
US
V. Phone/Fax
- Phone: 21-776-6182
- Fax:
- Phone: 217-766-1827
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JULIE
DIANNE
KENNY
Title or Position: OWNER/ PROVIDER
Credential:
Phone: 217-766-1827