MEDICARE: GN HEARING CARE CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332S00000X	Hearing Aid Equipment

General Provider Information

NPI Number	:	1114382173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GN HEARING CARE CORP.

Provider Business Mailing Address
First Line	:	2601 PATRIOT BLVD
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-8023
Country	:	US
Telephone Number	:	847-832-3695
Fax Number	:

Provider Business Practice Location Address
First Line	:	3981 S JOG RD # 2
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-1514
Country	:	US
Telephone Number	:	561-966-6299
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RICH SWANSON
Credential	:
Telephone Number	:	847-832-3717

Provider Enumeration Date	:	12/17/2015
Last Update Date	:	12/17/2015

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