Provider Demographics
NPI:1851414049
Name:ADVANCED HEARING SYSTEMS LLC
Entity Type:Organization
Organization Name:ADVANCED HEARING SYSTEMS LLC
Other - Org Name:ADVANCED HEARING SYSTEMS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:SCHMITT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:618-628-1212
Mailing Address - Street 1:4933 BENCHMARK CENTRE DR STE B
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-8927
Mailing Address - Country:US
Mailing Address - Phone:618-628-1212
Mailing Address - Fax:618-628-8520
Practice Address - Street 1:4933 BENCHMARK CENTRE DR STE B
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-8927
Practice Address - Country:US
Practice Address - Phone:618-628-1212
Practice Address - Fax:618-628-8520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2021-04-20
Deactivation Date:2009-10-15
Deactivation Code:
Reactivation Date:2012-07-11
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL338626371001Medicaid
IL204679Medicare UPIN
IL338626371001Medicaid