Healthcare Provider Details

I. General information

NPI: 1871847129
Provider Name (Legal Business Name): HEARING ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2012
Last Update Date: 01/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 TOWER CT STE A
GURNEE IL
60031-5712
US

IV. Provider business mailing address

32176 N ALLEGHENY WAY
LAKEMOOR IL
60051-6631
US

V. Phone/Fax

Practice location:
  • Phone: 847-662-9300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLY JEAN GIRARD
Title or Position: DOCTOR OF AUDIOLOGY/OWNER
Credential: AU.D.
Phone: 847-662-9300