Provider Demographics
NPI:1689048027
Name:CHICAGO HEARING CARE LLC
Entity Type:Organization
Organization Name:CHICAGO HEARING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ULLAURI
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:312-643-0717
Mailing Address - Street 1:401 E ONTARIO ST
Mailing Address - Street 2:GROUND LEVEL
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3051
Mailing Address - Country:US
Mailing Address - Phone:312-643-0782
Mailing Address - Fax:312-643-0597
Practice Address - Street 1:401 E ONTARIO ST
Practice Address - Street 2:GROUND LEVEL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3051
Practice Address - Country:US
Practice Address - Phone:312-643-0782
Practice Address - Fax:312-643-0597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147001437261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech