Healthcare Provider Details

I. General information

NPI: 1548823735
Provider Name (Legal Business Name): MIDWEST DIZZINESS AND BALANCE INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14222 LADUE RD
CHESTERFIELD MO
63017-3324
US

IV. Provider business mailing address

14222 LADUE RD
CHESTERFIELD MO
63017-3324
US

V. Phone/Fax

Practice location:
  • Phone: 314-384-8088
  • Fax: 636-238-4388
Mailing address:
  • Phone: 314-384-8088
  • Fax: 636-238-4388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: EMILY SCHWEGEL
Title or Position: OFFICE MANAGER
Credential:
Phone: 314-384-8088