Provider Demographics
NPI:1083752315
Name:MARANS INC
Entity Type:Organization
Organization Name:MARANS INC
Other - Org Name:BELTONE HEARING CARE CENTERS CHICAGOLAND BELTONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONCETTA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCCA
Authorized Official - Phone:630-469-6061
Mailing Address - Street 1:462 ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137
Mailing Address - Country:US
Mailing Address - Phone:630-469-6061
Mailing Address - Fax:630-469-1212
Practice Address - Street 1:462 ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137
Practice Address - Country:US
Practice Address - Phone:630-469-6061
Practice Address - Fax:630-469-1212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL237600000X
IL1639237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL10115126OtherBLUE CROSS
IL4500059OtherUHC
IL307711Medicare ID - Type Unspecified