Healthcare Provider Details
I. General information
NPI: 1245491000
Provider Name (Legal Business Name): AMELIA FRANCIS RADER AU. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/24/2008
Last Update Date: 02/22/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
HEARUSA 3100 W HIGGINS RD
HOFFMAN ESTATES IL
60169
US
IV. Provider business mailing address
HEARUSA 3100 W HIGGINS RD
HOFFMAN ESTATES IL
60169
US
V. Phone/Fax
- Phone: 866-391-2313
- Fax:
- Phone: 866-391-2313
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 147001279 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: