Provider Demographics
NPI:1396911285
Name:CHICAGO HEARING SERVICES PC
Entity type:Organization
Organization Name:CHICAGO HEARING SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:WOLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:773-685-9202
Mailing Address - Street 1:5600 W ADDISON
Mailing Address - Street 2:STE 502
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634
Mailing Address - Country:US
Mailing Address - Phone:773-685-9202
Mailing Address - Fax:773-685-5545
Practice Address - Street 1:5600 W ADDISON
Practice Address - Street 2:STE 502
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634
Practice Address - Country:US
Practice Address - Phone:773-685-9202
Practice Address - Fax:773-685-5545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147-000194231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL016-71038OtherBLUE CROSS/BLUE SHIELD
IL336466132001Medicaid
IL921640Medicare PIN