1528213204 NPI number — SOUND CARE HEARING CORPORATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528213204 NPI number — SOUND CARE HEARING CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUND CARE HEARING CORPORATION
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:
6
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:
1528213204
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5141
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIVER FOREST
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60305-5141
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-660-2350
Provider Business Mailing Address Fax Number:
708-660-2360

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
610 S MAPLE AVE
Provider Second Line Business Practice Location Address:
SUITE 5300
Provider Business Practice Location Address City Name:
OAK PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60304-1091
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-660-2350
Provider Business Practice Location Address Fax Number:
708-660-2360
Provider Enumeration Date:
11/23/2008

Additional Information

Authorized Official

Authorized Official Last Name:
ANDERSON
Authorized Official First Name:
REBECCA
Authorized Official Middle Name:
LYNNE
Authorized Official Title or Position:
CEO/PRESIDENT
Authorized Official Telephone Number:
708-660-2350

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  147-000851 , 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)





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