Healthcare Provider Details

I. General information

NPI: 1346903028
Provider Name (Legal Business Name): CONNECT HEARING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 10/19/2021
Certification Date: 10/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1470 S MILWAUKEE AVE
LIBERTYVILLE IL
60048
US

IV. Provider business mailing address

750 N. COMMONS DR. SUITE 200
AURORA IL
60504
US

V. Phone/Fax

Practice location:
  • Phone: 630-303-5380
  • Fax: 630-303-5385
Mailing address:
  • Phone: 630-303-5380
  • Fax: 630-303-5385

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 Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DAWN M KENNEDY
Title or Position: CFO
Credential:
Phone: 630-303-5380