| NPI | 1003318395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA M GLASENHARDT President 773-805-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147001288) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: IL 147001288) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: IL 147001288) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: IL 147001288) | |
| 237700000X Hearing Instrument Specialist | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2021-06-29 |