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NPI 1588633556

NPI 1588633556 : CENTRAL IL. HEARING AID CENTERS, INC. : PEORIA, IL

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General NPI Number Information
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    NPI Number           |    1588633556
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTRAL IL. HEARING AID CENTERS, INC. 
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Dates
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    Enumeration Date     |    03/14/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1331 HAMILTON BLVD 
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    City                 |    PEORIA
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    State                |    IL
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    Zip                  |    61606-1528
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    Country              |    US
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    Telephone            |    309-676-8907
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    Fax                  |    309-676-8092
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Provider Business Mailing Address
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    Address Line         |    1331 HAMILTON BLVD 
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    City                 |    PEORIA
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    State                |    IL
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    Zip                  |    61606-1528
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    Country              |    US
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    Telephone            |    309-676-8907
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    Fax                  |    309-676-8092
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ROBERT F. LINDBERG 
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    Credential           |    PH.D. CCC-A
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    Telephone            |    309-676-8907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    0548
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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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