Provider Demographics
NPI:1760870380
Name:ZOUNDS OF METRO CHICAGO, 3 LTD
Entity Type:Organization
Organization Name:ZOUNDS OF METRO CHICAGO, 3 LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-607-1112
Mailing Address - Street 1:2041 THORNWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1450
Mailing Address - Country:US
Mailing Address - Phone:312-607-1112
Mailing Address - Fax:312-577-0893
Practice Address - Street 1:7144 CARPENTER RD
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3279
Practice Address - Country:US
Practice Address - Phone:847-423-2946
Practice Address - Fax:847-423-2946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment