Provider Demographics
NPI:1295000891
Name:ICH LIMITED
Entity Type:Organization
Organization Name:ICH LIMITED
Other - Org Name:AUDIBEL HEARING AID CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-875-5555
Mailing Address - Street 1:233 N MAIN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62523-1208
Mailing Address - Country:US
Mailing Address - Phone:217-875-5555
Mailing Address - Fax:630-429-9515
Practice Address - Street 1:2605 N WATER ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62526-4269
Practice Address - Country:US
Practice Address - Phone:217-875-5555
Practice Address - Fax:217-875-9640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1710237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty