Provider Demographics
NPI:1912775131
Name:HEARING BRAIN AUDIOLOGY, PLLC
Entity Type:Organization
Organization Name:HEARING BRAIN AUDIOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:312-841-7422
Mailing Address - Street 1:932 W CARMEN AVE APT 2E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-3275
Mailing Address - Country:US
Mailing Address - Phone:312-841-7422
Mailing Address - Fax:
Practice Address - Street 1:932 W CARMEN AVE APT 2E
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-3275
Practice Address - Country:US
Practice Address - Phone:312-841-7422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty