Healthcare Provider Details

I. General information

NPI: 1356098958
Provider Name (Legal Business Name): GREAT HEARING BENEFITS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2022
Last Update Date: 06/02/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 PATRIOT BLVD
GLENVIEW IL
60026-8023
US

IV. Provider business mailing address

2601 PATRIOT BLVD
GLENVIEW IL
60026-8023
US

V. Phone/Fax

Practice location:
  • Phone: 847-832-3300
  • Fax:
Mailing address:
  • Phone: 847-832-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: RONALD GLEITMAN
Title or Position: VP OF OPERATIONS
Credential:
Phone: 847-510-3651