Healthcare Provider Details

I. General information

NPI: 1982295804
Provider Name (Legal Business Name): HEARING AND BALANCE SPECIALISTS OF ILLINOIS LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21124 WASHINGTON PKWY
FRANKFORT IL
60423-3112
US

IV. Provider business mailing address

21124 WASHINGTON PKWY
FRANKFORT IL
60423-3112
US

V. Phone/Fax

Practice location:
  • Phone: 815-239-0673
  • Fax: 815-412-2985
Mailing address:
  • Phone: 815-239-0673
  • Fax: 815-412-2985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT SUMRALL
Title or Position: AUDIOLOGIST/OWNER
Credential: AU.D.
Phone: 815-239-0673