Provider Demographics
NPI:1912500778
Name:WHOLISTIC HEARING CARE, LTD
Entity Type:Organization
Organization Name:WHOLISTIC HEARING CARE, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTZMER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:630-474-5008
Mailing Address - Street 1:1421 E HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4423
Mailing Address - Country:US
Mailing Address - Phone:630-474-5008
Mailing Address - Fax:630-474-5800
Practice Address - Street 1:1421 E HARRISON AVE
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4423
Practice Address - Country:US
Practice Address - Phone:630-474-5008
Practice Address - Fax:630-474-5800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No251E00000XAgenciesHome Health