| NPI | 1508870585 |
|---|---|
| Doing Business As | CARBONDALE HEARING CENTER |
| Entity Type | Organization |
| Authorized Contact | BETH A HICKS Office Manager 618-457-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147000156) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147001158) |
| 231H00000X Audiologist (Licence: IL 147000788) | |
| 231H00000X Audiologist | |
| 237700000X Hearing Instrument Specialist (Licence: IL 0394) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 2354) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-10-13 |