Healthcare Provider Details

I. General information

NPI: 1952496051
Provider Name (Legal Business Name): ASSOCIATED HEARING AIDS OF PEORIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EAST WASHINGTON ST
EAST PEORIA IL
61611
US

IV. Provider business mailing address

597 N YORK RD
ELMHURST IL
60126-1903
US

V. Phone/Fax

Practice location:
  • Phone: 309-698-3300
  • Fax: 309-698-9721
Mailing address:
  • Phone: 630-833-8382
  • Fax: 630-833-8158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1772
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateIL

VIII. Authorized Official

Name: PETER M GASPARY
Title or Position: PRESIDENT
Credential:
Phone: 630-833-8382