1114375649 NPI number — LAND OF LINCOLN HEARING, INC.

Table of content: (NPI 1114375649)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114375649 NPI number — LAND OF LINCOLN HEARING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAND OF LINCOLN HEARING, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114375649
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/25/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1313 W WINONA ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60640-2909
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-346-1355
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1010 LAKE ST
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
OAK PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60301-1147
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-346-1355
Provider Business Practice Location Address Fax Number:
630-933-9999
Provider Enumeration Date:
05/25/2016

Additional Information

Authorized Official

Authorized Official Last Name:
WRIGHT
Authorized Official First Name:
BENJAMIN
Authorized Official Middle Name:
Authorized Official Title or Position:
CHAIRMAN OF THE BOARD
Authorized Official Telephone Number:
224-325-4327

Provider Taxonomy Codes

  • Taxonomy code: 237700000X , with the licence number:  2871 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com