Provider Demographics
NPI:1407292493
Name:THE HEARING AID CENTER
Entity Type:Organization
Organization Name:THE HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:DEARTH
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:217-735-3573
Mailing Address - Street 1:1201 WOODLAWN RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:IL
Mailing Address - Zip Code:62656-9770
Mailing Address - Country:US
Mailing Address - Phone:217-735-3573
Mailing Address - Fax:217-735-1574
Practice Address - Street 1:1201 WOODLAWN RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:IL
Practice Address - Zip Code:62656-9770
Practice Address - Country:US
Practice Address - Phone:217-735-3573
Practice Address - Fax:217-735-1574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0873237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty