| NPI | 1043595887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLIE CARLSON Insurance Manager 847-843-1900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: CA HA7259) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2020-12-08 |