Provider Demographics
NPI:1962823088
Name:ACCUQUEST HEARING CENTERS LLC
Entity Type:Organization
Organization Name:ACCUQUEST HEARING CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-843-1900
Mailing Address - Street 1:2800 W HIGGINS RD
Mailing Address - Street 2:SUITE 895
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2071
Mailing Address - Country:US
Mailing Address - Phone:847-843-1900
Mailing Address - Fax:847-843-1901
Practice Address - Street 1:23382 MILL CREEK DR
Practice Address - Street 2:SUITE 210
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1682
Practice Address - Country:US
Practice Address - Phone:949-600-8181
Practice Address - Fax:949-600-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2017-03-09
Deactivation Date:2016-08-19
Deactivation Code:
Reactivation Date:2017-03-09
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech