Northland Hearing Centers, INC.
Clinic/Center, Hearing and Speech in Lake Forest, IL. Organization (NPI-2).
NPI number1669932034
StatusActive
Last updated in NPPESMay 29, 2019
Details
- NPI
- 1669932034
- Entity type
- Organization (NPI-2)
- Legal business name
- Northland Hearing Centers, INC.
- Organization subpart
- No
- Enumeration date
- Mar 22, 2019
- Last updated
- May 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – | Yes |
Other names
- Northland Hearing Centers, INC. Dba Hearing Lab (Doing Business As)
Practice location
840 S Waukegan Rd Ste 102Lake Forest, IL 60045-2616
Phone 224-544-5144
Mailing address
6700 Washington Ave SEden Prairie, MN 55344-3405
Phone 800-328-8602
Authorized official
Charles Lewis Laytart
Credentialing Specialist
9529156248
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