Healthcare Provider Details

I. General information

NPI: 1942448915
Provider Name (Legal Business Name): ALWAYS HEAR HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2009
Last Update Date: 01/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 EASTLAND DR SUITE E
BLOOMINGTON IL
61704-7917
US

IV. Provider business mailing address

2101 EASTLAND DR SUITE E
BLOOMINGTON IL
61704-7917
US

V. Phone/Fax

Practice location:
  • Phone: 309-664-6200
  • Fax: 309-664-6230
Mailing address:
  • Phone: 309-664-6200
  • Fax: 309-664-6230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number2564
License Number StateIL

VIII. Authorized Official

Name: MR. KEVIN L BREWSTER
Title or Position: HEARING INSTRUMENT SPECIALIST
Credential:
Phone: 309-664-6200