MEDICARE: CHICAGO HEARING LLC

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	:	1275907248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO HEARING LLC

Provider Business Mailing Address
First Line	:	131 ENTERPRISE RD
Second Line	:
City	:	JOHNSTOWN
State	:	NY
Zip	:	12095-3326
Country	:	US
Telephone Number	:	401-353-4174
Fax Number	:	401-488-5774

Provider Business Practice Location Address
First Line	:	100 E ROOSEVELT RD
Second Line	:	SUITE19
City	:	VILLA PARK
State	:	IL
Zip	:	60181-3529
Country	:	US
Telephone Number	:	630-318-1335
Fax Number	:

Authorized Official
Title or Position	:	HEARING INSTRUMENT SPECIALIST
Name	:	MARC SPINDLER
Credential	:
Telephone Number	:	630-318-1335

Provider Enumeration Date	:	11/13/2015
Last Update Date	:	06/03/2020

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