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NPI Code Detail

MEDICARE: AUDIONOVA LLC

MEDICARE: AUDIONOVA 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
1237600000XAudiologist-Hearing Aid Fitter
2237700000XHearing Instrument Specialist
3231H00000XAudiologist
4332S00000XHearing Aid Equipment

General Provider Information

NPI Number : 1356098644
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUDIONOVA LLC
Provider Business Mailing Address
First Line : 750 N COMMONS DR STE 200
Second Line :
City : AURORA
State : IL
Zip : 60504-7940
Country : US
Telephone Number : 630-303-5380
Fax Number : 630-303-5385
Provider Business Practice Location Address
First Line : 410 N MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60611-4213
Country : US
Telephone Number : 630-303-5380
Fax Number : 630-303-5380
Authorized Official
Title or Position : CFO
Name : DAWN M KENNEDY
Credential :
Telephone Number : 630-303-5380
Provider Enumeration Date : 03/07/2022
Last Update Date : 03/07/2022

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Directions to “AUDIONOVA LLC ” Practice Location

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