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NPI Code Detail

MEDICARE: LAND OF LINCOLN HEARING, INC.

MEDICARE: LAND OF LINCOLN HEARING, INC.
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
1332S00000XHearing Aid Equipment2871IL

General Provider Information

NPI Number : 1487002507
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAND OF LINCOLN HEARING, INC.
Provider Business Mailing Address
First Line : 1313 W. WINONA ST.
Second Line :
City : CHICAGO
State : IL
Zip : 60640
Country : US
Telephone Number : 224-325-4327
Fax Number :
Provider Business Practice Location Address
First Line : 1313 W WINONA ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-2909
Country : US
Telephone Number : 224-325-4327
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MR. BENJAMIN R WRIGHT
Credential : HIS
Telephone Number : 224-325-4327
Provider Enumeration Date : 05/31/2016
Last Update Date : 05/31/2016

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Directions to “LAND OF LINCOLN HEARING, INC. ” Practice Location

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