Healthcare Provider Details

I. General information

NPI: 1760609705
Provider Name (Legal Business Name): INNOVATIVE AUDIOLOGY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8725 W HIGGINS RD SUITE 485
CHICAGO IL
60631-2716
US

IV. Provider business mailing address

290 OLD DIXIE HIGWAY
VERO BEACH FL
32962
US

V. Phone/Fax

Practice location:
  • Phone: 800-537-4871
  • Fax: 772-562-8127
Mailing address:
  • Phone: 772-562-8306
  • Fax: 772-562-8127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID E SOMMERFLED
Title or Position: CHIEF OPERATING OFFICE
Credential:
Phone: 772-562-8306