Provider Demographics
NPI:1952563504
Name:AUDIOLOGY H.E.A.R., P.C.
Entity Type:Organization
Organization Name:AUDIOLOGY H.E.A.R., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:RATERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:630-200-9787
Mailing Address - Street 1:2172 BLACKBERRY DR
Mailing Address - Street 2:UNIT 204
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-1084
Mailing Address - Country:US
Mailing Address - Phone:630-200-9787
Mailing Address - Fax:630-262-0397
Practice Address - Street 1:2172 BLACKBERRY DR
Practice Address - Street 2:UNIT 204
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-1084
Practice Address - Country:US
Practice Address - Phone:630-200-9787
Practice Address - Fax:630-262-0397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
IL147.001259332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty