Provider Demographics
NPI:1104014893
Name:HEARING & BALANCE CENTER, P.C.
Entity Type:Organization
Organization Name:HEARING & BALANCE CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:R
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:312-573-2039
Mailing Address - Street 1:PO BOX 135
Mailing Address - Street 2:4479 LAWN AVE
Mailing Address - City:WESTERN SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60558-0135
Mailing Address - Country:US
Mailing Address - Phone:630-910-8977
Mailing Address - Fax:312-944-0427
Practice Address - Street 1:233 E ERIE ST
Practice Address - Street 2:SUITE 500
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2926
Practice Address - Country:US
Practice Address - Phone:312-573-2039
Practice Address - Fax:312-944-0427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech