Provider Demographics
NPI:1689910259
Name:ADVANCED AUDIOLOGY CONSULTANTS, LLC
Entity Type:Organization
Organization Name:ADVANCED AUDIOLOGY CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:630-930-1025
Mailing Address - Street 1:5923 SHERMAN DR
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1019
Mailing Address - Country:US
Mailing Address - Phone:630-930-1025
Mailing Address - Fax:630-622-4784
Practice Address - Street 1:6440 MAIN ST STE 120
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-1281
Practice Address - Country:US
Practice Address - Phone:630-930-1025
Practice Address - Fax:630-622-4784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-29
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147001250231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty