Healthcare Provider Details

I. General information

NPI: 1346068152
Provider Name (Legal Business Name): SOUTHWEST HEARING SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 N DIVISION ST STE 218
MORRIS IL
60450-3107
US

IV. Provider business mailing address

1802 N DIVISION ST STE 218
MORRIS IL
60450-3107
US

V. Phone/Fax

Practice location:
  • Phone: 815-846-7180
  • Fax: 815-846-7118
Mailing address:
  • Phone: 815-846-7180
  • Fax: 815-846-7118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMIE ELLEN SIKORA
Title or Position: AUDIOLOGIST/OWNER
Credential: AU.D.
Phone: 815-666-4478