| NPI | 1356098958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GLEITMAN VP Of Operations 847-510-3651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 231H00000X Audiologist |
| 237600000X Audiologist-Hearing Aid Fitter | |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-06-02 |