Provider Demographics
NPI:1821228156
Name:HEARING CENTRAL LLC
Entity Type:Organization
Organization Name:HEARING CENTRAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:WYATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-295-6946
Mailing Address - Street 1:1390 KATHRYN LN
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-4308
Mailing Address - Country:US
Mailing Address - Phone:847-295-6946
Mailing Address - Fax:847-295-6961
Practice Address - Street 1:1390 KATHRYN LN
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-4308
Practice Address - Country:US
Practice Address - Phone:847-295-6946
Practice Address - Fax:847-295-6961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment