Healthcare Provider Details
I. General information
NPI: 1659676138
Provider Name (Legal Business Name): GN HEARING CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/14/2011
Last Update Date: 01/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2601 PATRIOT BLVD
GLENVIEW IL
60026-8023
US
IV. Provider business mailing address
10411 NE 4TH PLAIN # 122
VANCOUVER WA
98662-6305
US
V. Phone/Fax
- Phone: 847-832-3691
- Fax:
- Phone: 360-882-1489
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAUL
GIAMPAOLO
Title or Position: VP FINANCE
Credential:
Phone: 847-832-3690