Provider Demographics
NPI:1639108368
Name:PRECISION AUDIOLOGY AND HEARING SERVICES, INC.
Entity type:Organization
Organization Name:PRECISION AUDIOLOGY AND HEARING SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:KERI
Authorized Official - Middle Name:
Authorized Official - Last Name:OKE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:630-926-5368
Mailing Address - Street 1:1261 AVERILL DR
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-4500
Mailing Address - Country:US
Mailing Address - Phone:630-926-5368
Mailing Address - Fax:630-879-0293
Practice Address - Street 1:1261 AVERILL DR
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-4500
Practice Address - Country:US
Practice Address - Phone:630-926-5368
Practice Address - Fax:630-879-0293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147001072231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL214061OtherMEDICARE PTAN