=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932675832
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEARING WORLD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2018
-----------------------------------------------------
Last Update Date | 09/13/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1112 INDIANAPOLIS BLVD STE 103
-----------------------------------------------------
City | SCHERERVILLE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46375-1361
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 219-351-0073
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1136 S DELANO CT W STE B201
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60605-3734
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 312-528-3233
-----------------------------------------------------
Fax | 312-528-3201
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | HEAD SPECIALIST/OWNER
-----------------------------------------------------
Name | MEL DERMODY
-----------------------------------------------------
Credential | HEARING SPECIALIST
-----------------------------------------------------
Telephone | 312-576-8444
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332S00000X
-----------------------------------------------------
Taxonomy Name | Hearing Aid Equipment
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------