Provider Demographics
NPI:1255685749
Name:HEARING AND BALANCE, LLC
Entity Type:Organization
Organization Name:HEARING AND BALANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:TONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-462-6962
Mailing Address - Street 1:5 REVERE DR
Mailing Address - Street 2:STE 400
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1566
Mailing Address - Country:US
Mailing Address - Phone:847-509-7331
Mailing Address - Fax:847-509-7336
Practice Address - Street 1:5 REVERE DR
Practice Address - Street 2:STE 400
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1566
Practice Address - Country:US
Practice Address - Phone:847-509-7331
Practice Address - Fax:847-509-7336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty