FORMERLY AUDIOLOGICAL LABORATORY (HEARING PROFESSIONALS OF ILLINOIS) NPI 1003010364

Audiologist in Niles, IL

NPI 1003010364 Organization Audiologist

About FORMERLY AUDIOLOGICAL LABORATORY (HEARING PROFESSIONALS OF ILLINOIS)

Formerly Audiological Laboratory (hearing Professionals Of Illinois) is a provider established in Niles, Illinois specializing in audiologist. The NPI number of Formerly Audiological Laboratory (hearing Professionals Of Illinois) is 1003010364 and was assigned on June 2007. The practitioner's primary taxonomy code is 231H00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Formerly Audiological Laboratory (hearing Professionals Of Illinois) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Formerly Audiological Laboratory. The authorized official of this NPI record is Merle Nathan Sr. Ma, Ccca (Director Of Audiology)

NPI

1003010364

Provider NameFORMERLY AUDIOLOGICAL LABORATORY (HEARING PROFESSIONALS OF ILLINOIS)
Provider Location Address8780 GOLF RD SUITE 200 NILES, IL 60714
Provider Mailing Address8780 GOLF RD SUITE 200 NILES, IL 60714
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameFORMERLY AUDIOLOGICAL LABORATORY
Other Name TypeFormer Legal Business Name (4)
Enumeration Date06-12-2007
Last Update Date12-05-2014


Primary Taxonomy

Taxonomy Code231H00000X
ClassificationAudiologist
TypeSpeech, Language and Hearing Service Providers
License StateIL
Taxonomy Description(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Business Address

FORMERLY AUDIOLOGICAL LABORATORY
8780 GOLF RD
SUITE 200
NILES, IL
ZIP 60714
Phone: (847) 824-4390
Fax: (847) 824-1712

Get Directions


Mailing Address

FORMERLY AUDIOLOGICAL LABORATORY
8780 GOLF RD
SUITE 200
NILES, IL
ZIP 60714
Phone: (847) 674-5585
Fax: (847) 824-1712



Authorized Official

Authorized Official Name MERLE NATHAN SR. MA, CCCA
Authorized Official TitleDIRECTOR OF AUDIOLOGY
Authorized Official Phone(847) 674-5585

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1231H00000XSpeech, Language and Hearing Service ProvidersAudiologist147000108ILNo

Taxonomy Description: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.