MEDICARE: LLOYD HEARING AID 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	237700000X	Hearing Instrument Specialist	1851	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0010172016	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1326174665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LLOYD HEARING AID CORP

Provider Business Mailing Address
First Line	:	PO BOX 7355
Second Line	:	4435 MANCHESTER DRIVE
City	:	ROCKFORD
State	:	IL
Zip	:	61126-7355
Country	:	US
Telephone Number	:	815-964-4191
Fax Number	:	815-964-8378

Provider Business Practice Location Address
First Line	:	4435 MANCHESTER DR
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61109-1655
Country	:	US
Telephone Number	:	815-964-4191
Fax Number	:	815-964-8378

Authorized Official
Title or Position	:	PRES LLOYD HEARING AID CORP
Name	:	MR. ANDREW M PALMQUIST
Credential	:	CERT HEARING INSTR S
Telephone Number	:	815-964-4191

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	08/23/2011

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Directions to “LLOYD HEARING AID CORP ” Practice Location

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