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General NPI Number Information
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NPI Number | 1982295804
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Entity Type | Organization
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Legal Business Name | HEARING AND BALANCE SPECIALISTS OF ILLINOIS LLC.
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 21124 WASHINGTON PKWY
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City | FRANKFORT
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State | IL
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Zip | 60423-3112
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Country | US
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Telephone | 815-239-0673
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Fax | 815-412-2985
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Provider Business Mailing Address
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Address Line | 21124 WASHINGTON PKWY
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City | FRANKFORT
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State | IL
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Zip | 60423-3112
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Country | US
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Telephone | 815-239-0673
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Fax | 815-412-2985
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | DR. SCOTT SUMRALL
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Credential | AU.D.
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Telephone | 815-239-0673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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