Provider Demographics
NPI:1144581448
Name:HOME HEARING SERVICES INC
Entity Type:Organization
Organization Name:HOME HEARING SERVICES INC
Other - Org Name:KAREN MAXWELL
Other - Org Type:Other Name
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:MAXWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:630-983-5272
Mailing Address - Street 1:1116 SHELDON CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-1306
Mailing Address - Country:US
Mailing Address - Phone:630-983-5272
Mailing Address - Fax:630-983-5272
Practice Address - Street 1:1116 SHELDON CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1306
Practice Address - Country:US
Practice Address - Phone:630-983-5272
Practice Address - Fax:630-983-5272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.000517237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL942360OtherMEDICARE IDENTIFICATION NUMBER