Provider Demographics
NPI:1700266012
Name:SPECTRA SOUND INC.
Entity Type:Organization
Organization Name:SPECTRA SOUND INC.
Other - Org Name:SPECTRA SOUND HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEARING INSTRUMENT DISPENSER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-853-0408
Mailing Address - Street 1:5421 W LAWRENCE AVE
Mailing Address - Street 2:UNIT 4
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-3404
Mailing Address - Country:US
Mailing Address - Phone:773-853-0408
Mailing Address - Fax:
Practice Address - Street 1:5421 W LAWRENCE AVE
Practice Address - Street 2:UNIT 4
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-3404
Practice Address - Country:US
Practice Address - Phone:773-853-0408
Practice Address - Fax:773-930-3845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3163237700000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty