Healthcare Provider Details

I. General information

NPI: 1619700036
Provider Name (Legal Business Name): HEARING CARE CLINIC OF DOWNERS GROVE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 MAIN ST
DOWNERS GROVE IL
60516-3493
US

IV. Provider business mailing address

637 W STATE ST
GENEVA IL
60134-2159
US

V. Phone/Fax

Practice location:
  • Phone: 630-963-6161
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MARIA MORRISON
Title or Position: PRESIDENT
Credential: AUD
Phone: 630-232-9153