Healthcare Provider Details

I. General information

NPI: 1588633556
Provider Name (Legal Business Name): CENTRAL IL. HEARING AID CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 HAMILTON BLVD
PEORIA IL
61606-1528
US

IV. Provider business mailing address

1331 HAMILTON BLVD
PEORIA IL
61606-1528
US

V. Phone/Fax

Practice location:
  • Phone: 309-676-8907
  • Fax: 309-676-8092
Mailing address:
  • Phone: 309-676-8907
  • Fax: 309-676-8092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number0548
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. ROBERT F. LINDBERG
Title or Position: PRESIDENT
Credential: PH.D. CCC-A
Phone: 309-676-8907