Active NPI
Hofstra Family Hearing Center Inc
- Hearing Instrument Specialist
- Palos Heights, IL
National Provider Identifier
1033394309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2898
- Legal business name
- HOFSTRA FAMILY HEARING CENTER INC
- Practice address
- 12705 So Ridgeland Ave
Palos Heights, IL 60463 - Phone
- (708) 385-9402
- Fax
- (708) 385-9403
- NPI assigned
- Jan 7, 2008
- Last updated
- Jan 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dale Richard Hofstra
- Title
- Pres Hofstra Family Hearing
- Phone
- (708) 385-9402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2898 | IL | Primary |
Addresses
Primary practice location
12705 So Ridgeland Ave
Palos Heights, IL 60463
Mailing address
12705 So Ridgeland Ave
Palos Heights, IL 60463
Phone (708) 385-9402
National Provider Directory
National Provider DirectoryLocations
12705 S Ridgeland Ave
Palos Heights, IL 60463
Phone (708) 385-9402
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hearing Instrument Specialist
- Palos Heights, IL
- NPI 1497930762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199664000000",
"number": "1033394309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12705 SO RIDGELAND AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "60463",
"telephone_number": "708-385-9402",
"fax_number": "708-385-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12705 SO RIDGELAND AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "60463",
"telephone_number": "708-385-9402",
"fax_number": "708-385-9403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOFSTRA FAMILY HEARING CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A",
"authorized_official_last_name": "HOFSTRA",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "PRES HOFSTRA FAMILY HEARING",
"authorized_official_telephone_number": "708-385-9402",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "2898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.