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General NPI Number Information
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NPI Number | 1104014893
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Entity Type | Organization
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Legal Business Name | HEARING & BALANCE CENTER, P.C.
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 233 E ERIE ST SUITE 500
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City | CHICAGO
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State | IL
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Zip | 60611-2926
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Country | US
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Telephone | 312-573-2039
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Fax | 312-944-0427
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Provider Business Mailing Address
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Address Line | PO BOX 135 4479 LAWN AVE
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City | WESTERN SPRINGS
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State | IL
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Zip | 60558-0135
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Country | US
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Telephone | 630-910-8977
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Fax | 312-944-0427
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Authorized Official
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Title or Position | OWNER
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Name | MS. BRIDGET R KANE
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Credential | M.A.
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Telephone | 312-573-2039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State | IL
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