{
"Npi": {
"NPI": "1033594445",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ILLINI HEARING CENTERS, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "113 N. MATTIS AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHAMPAIGN",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "61821",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "217-552-1730",
"MailingAddressFaxNumber": "217-601-1052",
"FirstLinePracticeLocationAddress": "113 N. MATTIS AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHAMPAIGN",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "61821",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "217-552-1730",
"PracticeLocationAddressFaxNumber": "217-601-1052",
"EnumerationDate": "07/27/2015",
"LastUpdateDate": "10/22/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MACDONALD",
"AuthorizedOfficialFirstName": "ASHLEY",
"AuthorizedOfficialMiddleName": "BROOKE",
"AuthorizedOfficialTitle": "PCC, HIS",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "HIS",
"AuthorizedOfficialTelephoneNumber": "217-552-1730",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "237700000X",
"TaxonomyName": "Hearing Instrument Specialist",
"LicenseNumber": "2585",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}