Provider Demographics
NPI:1720388671
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. CLAIMS & CONTRACTING MANAGER
Authorized Official - Prefix:MS
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
Mailing Address - Country:US
Mailing Address - Phone:847-843-1900
Mailing Address - Fax:847-843-1901
Practice Address - Street 1:750 OAK AVENUE PARKWAY
Practice Address - Street 2:SUITE 180
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630
Practice Address - Country:US
Practice Address - Phone:916-984-1954
Practice Address - Fax:916-984-3801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2015-09-30
Deactivation Date:2014-05-05
Deactivation Code:
Reactivation Date:2015-03-23
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech