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General NPI Number Information
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NPI Number | 1033594445
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Entity Type | Organization
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Legal Business Name | ILLINI HEARING CENTERS, INC.
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 113 N. MATTIS AVE
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City | CHAMPAIGN
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State | IL
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Zip | 61821
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Country | US
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Telephone | 217-552-1730
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Fax | 217-601-1052
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Provider Business Mailing Address
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Address Line | 113 N. MATTIS AVE
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City | CHAMPAIGN
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State | IL
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Zip | 61821
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Country | US
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Telephone | 217-552-1730
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Fax | 217-601-1052
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Authorized Official
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Title or Position | PCC, HIS
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Name | MRS. ASHLEY BROOKE MACDONALD
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Credential | HIS
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Telephone | 217-552-1730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2585
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License Number State | IL
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