Healthcare Provider Details

I. General information

NPI: 1669331807
Provider Name (Legal Business Name): SUBURBAN AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5999 NEW WILKE RD BLDG 1
ROLLING MEADOWS IL
60008-4506
US

IV. Provider business mailing address

5999 NEW WILKE RD BLDG 1
ROLLING MEADOWS IL
60008-4506
US

V. Phone/Fax

Practice location:
  • Phone: 847-259-2530
  • Fax: 847-259-4930
Mailing address:
  • Phone: 847-259-2530
  • Fax: 847-259-4930

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: GLENN SCHWARTZ
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 847-259-2530