Provider Demographics
NPI:1154648947
Name:T.A.H. INC.
Entity Type:Organization
Organization Name:T.A.H. INC.
Other - Org Name:WAUKEGAN HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-336-0355
Mailing Address - Street 1:1360 N GREEN BAY RD
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-1104
Mailing Address - Country:US
Mailing Address - Phone:847-336-0355
Mailing Address - Fax:847-336-2402
Practice Address - Street 1:1360 N GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-1104
Practice Address - Country:US
Practice Address - Phone:847-336-0355
Practice Address - Fax:847-336-2402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2614332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment