Healthcare Provider Details

I. General information

NPI: 1902080369
Provider Name (Legal Business Name): HEARING PROFESSIONALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2007
Last Update Date: 12/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SHUMAN BLVD. SUITE 401
NAPERVILLE IL
60563-8123
US

IV. Provider business mailing address

215 SHUMAN BLVD. SUITE 401
NAPERVILLE IL
60563-8123
US

V. Phone/Fax

Practice location:
  • Phone: 630-303-5380
  • Fax: 928-567-9173
Mailing address:
  • Phone: 928-567-4224
  • Fax: 928-567-9173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberDA1429
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateNULL

VIII. Authorized Official

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