Provider Demographics
NPI:1952496051
Name:ASSOCIATED HEARING AIDS OF PEORIA
Entity Type:Organization
Organization Name:ASSOCIATED HEARING AIDS OF PEORIA
Other - Org Name:MIRACLE EAR CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:M
Authorized Official - Last Name:GASPARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-833-8382
Mailing Address - Street 1:597 N YORK RD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1903
Mailing Address - Country:US
Mailing Address - Phone:630-833-8382
Mailing Address - Fax:630-833-8158
Practice Address - Street 1:100 EAST WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:EAST PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61611
Practice Address - Country:US
Practice Address - Phone:309-698-3300
Practice Address - Fax:309-698-9721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1772237700000X
IL237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty