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NPI Code Detail

MEDICARE: HEARING ASSOCIATES PC

MEDICARE: HEARING ASSOCIATES PC
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
1231H00000XAudiologistIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619964889
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARING ASSOCIATES PC
Provider Business Mailing Address
First Line : 755 S MILWAUKEE AVE
Second Line : SUITE 189
City : LIBERTYVILLE
State : IL
Zip : 60048-3253
Country : US
Telephone Number : 847-680-7580
Fax Number : 847-680-9168
Provider Business Practice Location Address
First Line : 755 S MILWAUKEE AVE
Second Line : SUITE 189
City : LIBERTYVILLE
State : IL
Zip : 60048-3253
Country : US
Telephone Number : 847-680-7580
Fax Number : 847-680-9168
Authorized Official
Title or Position : DOCTOR OF AUDIOLOGY-OWNER
Name : MRS. LINDA STANTON REMESNYDER
Credential : AUD
Telephone Number : 847-680-7580
Provider Enumeration Date : 10/04/2005
Last Update Date : 08/22/2020

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Directions to “HEARING ASSOCIATES PC ” Practice Location

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