Provider Demographics
NPI:1639606841
Name:ACCUQUEST HEARING CENTERS, LLC
Entity Type:Organization
Organization Name:ACCUQUEST HEARING CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORP. INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-843-1900
Mailing Address - Street 1:2800 W. HIGGINS ROAD
Mailing Address - Street 2:SUITE #895
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-7228
Mailing Address - Country:US
Mailing Address - Phone:847-843-1900
Mailing Address - Fax:847-843-1901
Practice Address - Street 1:206 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPEARFISH
Practice Address - State:SD
Practice Address - Zip Code:57783-2718
Practice Address - Country:US
Practice Address - Phone:605-642-2708
Practice Address - Fax:605-642-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-18
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech