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NPI Code Detail

MEDICARE: JACK JONES HEARING CENTER INC.

MEDICARE: JACK JONES HEARING CENTER 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
1237700000XHearing Instrument Specialist
2231H00000XAudiologist
3237600000XAudiologist-Hearing Aid Fitter
4332S00000XHearing Aid Equipment

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2530294OTHERTXBCBS
30615164OTHERTXAETNA

General Provider Information

NPI Number : 1962672170
Entity Type Code : Organization
Provider Name (Legal Business Name) : JACK JONES HEARING CENTER INC.
Provider Business Mailing Address
First Line : 750 N COMMONS DR STE 200
Second Line :
City : AURORA
State : IL
Zip : 60504-8025
Country : US
Telephone Number : 630-303-5380
Fax Number : 630-303-5385
Provider Business Practice Location Address
First Line : 6809 W NW HWY
Second Line :
City : DALLAS
State : TX
Zip : 75225-4202
Country : US
Telephone Number : 214-691-5466
Fax Number : 214-691-7250
Authorized Official
Title or Position : VP, FINANCE AND CONTROLLING
Name : VICKI COLE
Credential :
Telephone Number : 331-305-8086
Provider Enumeration Date : 03/04/2008
Last Update Date : 04/29/2026

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Directions to “JACK JONES HEARING CENTER INC. ” Practice Location

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