Provider Demographics
NPI:1902231160
Name:21STCENTURY HEARING CENTER
Entity Type:Organization
Organization Name:21STCENTURY HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:217-221-8550
Mailing Address - Street 1:3825 MAINE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62305-5835
Mailing Address - Country:US
Mailing Address - Phone:321-722-1855
Mailing Address - Fax:217-221-8550
Practice Address - Street 1:3825 MAINE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62305-5835
Practice Address - Country:US
Practice Address - Phone:321-722-1855
Practice Address - Fax:217-221-8550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2018332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment