MEDICARE: NORTH SHORE 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	231H00000X	Audiologist

General Provider Information

NPI Number	:	1558253351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH SHORE HEARING, LLC

Provider Business Mailing Address
First Line	:	5464 N PORT WASHINGTON RD
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53217-4925
Country	:	US
Telephone Number	:	414-906-1145
Fax Number	:

Provider Business Practice Location Address
First Line	:	5464 N PORT WASHINGTON RD
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53217-4925
Country	:	US
Telephone Number	:	414-906-1145
Fax Number	:

Authorized Official
Title or Position	:	REVENUE CREDENTIALING DEPT MANAGER
Name	:	JULIE BARTH
Credential	:	DM
Telephone Number	:	920-234-8542

Provider Enumeration Date	:	07/16/2025
Last Update Date	:	07/16/2025

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Directions to “NORTH SHORE HEARING, LLC ” Practice Location

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