| NPI | 1376870287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLIE CARLSON Insurance Manager 847-843-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: SC SC-HAS445) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2014-04-02 |