Healthcare Provider Details

I. General information

NPI: 1164963203
Provider Name (Legal Business Name): SONIK HEARING CARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2017
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 S MICHIGAN AVE SUIT # 2212
CHICAGO IL
60603-3357
US

IV. Provider business mailing address

3213 N ROCKWELL ST
CHICAGO IL
60618-5934
US

V. Phone/Fax

Practice location:
  • Phone: 312-346-1136
  • Fax:
Mailing address:
  • Phone: 847-452-9659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number147001053
License Number StateIL

VIII. Authorized Official

Name: LATA JAIN
Title or Position: PRESIDENT
Credential:
Phone: 847-452-9659