Healthcare Provider Details

I. General information

NPI: 1477460269
Provider Name (Legal Business Name): NIKOLAS E GETZINGER AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

487 PENNSYLVANIA AVE
GLEN ELLYN IL
60137
US

IV. Provider business mailing address

2295 ESSINGTON RD SUITE 102
JOLIET IL
60435
US

V. Phone/Fax

Practice location:
  • Phone: 630-858-3277
  • Fax: 630-858-6932
Mailing address:
  • Phone: 815-782-8318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147.012363
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: