Healthcare Provider Details

I. General information

NPI: 1477684868
Provider Name (Legal Business Name): NORTH SUBURBAN HEARING SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 04/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7638 N MILWAUKEE AVE
NILES IL
60714-3133
US

IV. Provider business mailing address

7638 N MILWAUKEE AVE
NILES IL
60714-3133
US

V. Phone/Fax

Practice location:
  • Phone: 847-966-0060
  • Fax: 847-966-2046
Mailing address:
  • Phone: 847-966-0060
  • Fax: 847-966-2046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number147000276
License Number StateIL

VIII. Authorized Official

Name: DR. PHYLLIS STERN-WEISMAN
Title or Position: PRESIDENT
Credential: AUD, CCC-A, FAAA
Phone: 847-966-0060