| NPI | 1083919971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLIE CARLSON Corp. Insurance Manager 847-843-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2015-02-17 |