Phyllis Stern-Weisman, AUD, CCC-A, FAAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147000276 Issued in IL

Practice address

7638 N Milwaukee Ave
Niles, IL 60714-3133

Phone

(847) 966-0060

Fax

(847) 966-2046

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Suburban Hearing Service Inc

  • Audiologist-Hearing Aid Fitter
  • Niles, IL
  • NPI 1477684868
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1023149598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7638 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143133",
            "telephone_number": "847-966-0060",
            "fax_number": "847-966-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7638 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143133",
            "telephone_number": "847-966-0060",
            "fax_number": "847-966-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN-WEISMAN",
        "first_name": "PHYLLIS",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Niles, IL
• Providers in Niles, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.