Healthcare Provider Details

I. General information

NPI: 1780012070
Provider Name (Legal Business Name): HARMONY HEARING OF II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2013
Last Update Date: 06/11/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4704 N SHERIDAN ROAD
PEORIA IL
61614-5926
US

IV. Provider business mailing address

PO BOX 5358
MORTON IL
61550-5358
US

V. Phone/Fax

Practice location:
  • Phone: 309-688-4327
  • Fax: 309-688-6846
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAMELA CROW
Title or Position: CHIEF OPERATION OFFICER
Credential:
Phone: 309-688-4327