Provider Demographics
NPI:1710135207
Name:ALTERNATIVE HEARING SYSTEMS
Entity Type:Organization
Organization Name:ALTERNATIVE HEARING SYSTEMS
Other - Org Name:AUDIBEL CENTER FOR HEARING EXCELLENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:AURTHER
Authorized Official - Last Name:LAFABER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:815-939-2442
Mailing Address - Street 1:1210 W. COURT ST.
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901
Mailing Address - Country:US
Mailing Address - Phone:815-939-2442
Mailing Address - Fax:815-939-2442
Practice Address - Street 1:1210 W. COURT ST.
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901
Practice Address - Country:US
Practice Address - Phone:815-939-2442
Practice Address - Fax:815-939-2442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0527237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1169440001Medicare UPIN