Healthcare Provider Details

I. General information

NPI: 1508834904
Provider Name (Legal Business Name): OTOLING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39W568 NEWTON SQAURE
GENEVA IL
60134-4873
US

IV. Provider business mailing address

P.O. BOX 8
SAINT CHARLES IL
60174-0008
US

V. Phone/Fax

Practice location:
  • Phone: 630-886-0520
  • Fax: 630-305-8838
Mailing address:
  • Phone: 630-886-0520
  • Fax: 630-305-8838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147-001070
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146-005757
License Number StateIL

VIII. Authorized Official

Name: DR. WILLARD C. HOOKS JR.
Title or Position: AUDIOLOGIST / SPEECHPATHOLOGIST
Credential: PH.D.
Phone: 630-305-8288