Provider Demographics
NPI:1912311374
Name:MORTON AUDIOLOGY INC
Entity Type:Organization
Organization Name:MORTON AUDIOLOGY INC
Other - Org Name:MORTON AUDIOLOGY & HEARING AID CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILFILLAN-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-A
Authorized Official - Phone:309-263-7545
Mailing Address - Street 1:320 S MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:IL
Mailing Address - Zip Code:61550-1982
Mailing Address - Country:US
Mailing Address - Phone:309-263-7545
Mailing Address - Fax:309-740-3185
Practice Address - Street 1:320 S MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:IL
Practice Address - Zip Code:61550-1982
Practice Address - Country:US
Practice Address - Phone:309-263-7545
Practice Address - Fax:309-740-3185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty