Provider Demographics
NPI:1508834904
Name:WILLARD C. HOOKS, JR.
Entity Type:Organization
Organization Name:WILLARD C. HOOKS, JR.
Other - Org Name:OTOLING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST / SPEECHPATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOOKS
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-305-8288
Mailing Address - Street 1:1020 E OGDEN AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8609
Mailing Address - Country:US
Mailing Address - Phone:630-305-8288
Mailing Address - Fax:630-305-8838
Practice Address - Street 1:1020 E OGDEN AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8609
Practice Address - Country:US
Practice Address - Phone:630-305-8288
Practice Address - Fax:630-305-8838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147-001070231H00000X
IL146-005757235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty