Healthcare Provider Details

I. General information

NPI: 1972343416
Provider Name (Legal Business Name): NEIL AARON WRIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2024
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 S MICHIGAN AVE
CHICAGO IL
60605-2810
US

IV. Provider business mailing address

1411 S MICHIGAN AVE
CHICAGO IL
60605-2810
US

V. Phone/Fax

Practice location:
  • Phone: 312-454-2737
  • Fax:
Mailing address:
  • Phone: 312-454-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147.001577
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: