Healthcare Provider Details

I. General information

NPI: 1992062061
Provider Name (Legal Business Name): SOUTH SUBURBAN HEARING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14316 S. WILL-COOK RD
HOMER GLEN IL
60491
US

IV. Provider business mailing address

14316 S. WILL-COOK RD
HOMER GLEN IL
60491
US

V. Phone/Fax

Practice location:
  • Phone: 708-966-4724
  • Fax: 708-949-8015
Mailing address:
  • Phone: 708-966-4724
  • Fax: 708-949-8015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2697
License Number StateIL

VIII. Authorized Official

Name: MR. JONATHAN LLOYD WRIGHT
Title or Position: OWNER
Credential: BC-HIS, ACA
Phone: 708-966-4724