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General NPI Number Information
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NPI Number | 1003010364
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Entity Type | Organization
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Legal Business Name | HEARING PROFESSIONALS OF ILLINOIS
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 2604 DEMPSTER ST STE 501
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City | PARK RIDGE
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State | IL
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Zip | 60068-8429
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Country | US
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Telephone | 847-674-5585
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Fax |
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Provider Business Mailing Address
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Address Line | 2604 DEMPSTER ST STE 501
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City | PARK RIDGE
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State | IL
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Zip | 60068-8429
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Country | US
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Telephone | 847-674-5585
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF AUDIOLOGY
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Name | MERLE NATHAN SR.
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Credential | MA, CCCA
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Telephone | 847-674-5585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 147000108
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | IL
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