Provider Demographics
NPI:1457806986
Name:KUTIK-GIAMPAOLO HEARING , INC.
Entity Type:Organization
Organization Name:KUTIK-GIAMPAOLO HEARING , INC.
Other - Org Name:PARK COUNTY AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GIAMPAOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-541-6420
Mailing Address - Street 1:377 E BUTTERFIELD RD
Mailing Address - Street 2:STE 240
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5615
Mailing Address - Country:US
Mailing Address - Phone:630-541-6420
Mailing Address - Fax:630-541-6420
Practice Address - Street 1:620 MAIN ST
Practice Address - Street 2:STE 102
Practice Address - City:FAIRPLAY
Practice Address - State:CO
Practice Address - Zip Code:80440-1295
Practice Address - Country:US
Practice Address - Phone:719-838-0328
Practice Address - Fax:719-838-0328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment