Provider Demographics
NPI:1689742306
Name:HEARING ALTERNATIVES INC
Entity Type:Organization
Organization Name:HEARING ALTERNATIVES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:708-478-3111
Mailing Address - Street 1:18210 LA GRANGE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-7722
Mailing Address - Country:US
Mailing Address - Phone:708-478-3111
Mailing Address - Fax:708-479-1146
Practice Address - Street 1:18210 LA GRANGE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-7722
Practice Address - Country:US
Practice Address - Phone:708-478-3111
Practice Address - Fax:708-479-1146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001626878Medicare UPIN