Healthcare Provider Details

I. General information

NPI: 1396911285
Provider Name (Legal Business Name): CHICAGO HEARING SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 03/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 W ADDISON STE 502
CHICAGO IL
60634
US

IV. Provider business mailing address

5600 W ADDISON STE 502
CHICAGO IL
60634
US

V. Phone/Fax

Practice location:
  • Phone: 773-685-9202
  • Fax: 773-685-5545
Mailing address:
  • Phone: 773-685-9202
  • Fax: 773-685-5545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147-000194
License Number StateIL

VIII. Authorized Official

Name: DR. STEVEN WAYNE WOLINSKY
Title or Position: AUDIOLOGIST/OWNER
Credential: AU.D.
Phone: 773-685-9202