=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245480433
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LENDZION HEARING SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/24/2008
-----------------------------------------------------
Last Update Date | 04/08/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7447 WEST TALCOTT AVENUE SUITE 360
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60631
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-774-2300
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1541 MARQUETTE AVENUE
-----------------------------------------------------
City | NAPERVILLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60565
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-804-0509
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MRS. JULIE ANNE LENDZION
-----------------------------------------------------
Credential | M.S., CCC-A
-----------------------------------------------------
Telephone | 312-804-0509
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | 147-0000879
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------