Active NPI
Specialized Audiology Services PC
- Audiologist
- Park Ridge, IL
National Provider Identifier
1053610055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147-000880
- Legal business name
- SPECIALIZED AUDIOLOGY SERVICES PC
- Practice address
- 350 S Northwest Hwy Ste 300
Park Ridge, IL 60068-4262 - Phone
- (773) 543-8121
- Fax
- (773) 321-0193
- NPI assigned
- Mar 17, 2011
- 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
- Ann Reget, AU.D.
- Title
- Doctor of Audiology
- Phone
- (773) 543-8121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147-000880 | IL | Primary |
Addresses
Primary practice location
350 S Northwest Hwy Ste 300
Park Ridge, IL 60068-4262
Mailing address
350 S Northwest Hwy Ste 300
Park Ridge, IL 60068-4262
Phone (773) 543-8121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 357648455001 | Medicaid | IL | |
| 1598984007 | Other | PERSONAL NPI NUMBER |
National Provider Directory
National Provider DirectoryLocations
2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599
2001 N Clybourn Ave
Ste 302
Chicago, IL 60614
Phone (773) 973-7900
6141 N Pulaski Rd
Lincolnwood, IL 60646
Phone (773) 478-2000
24 S Plum Grove Rd
Palatine, IL 60067
Phone (847) 358-0311
350 S Northwest Hwy
Ste 300
Park Ridge, IL 60068
Phone (224) 361-3301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385942400000",
"number": "1053610055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 S NORTHWEST HWY STE 300",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684262",
"telephone_number": "773-543-8121",
"fax_number": "773-321-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S NORTHWEST HWY STE 300",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684262",
"telephone_number": "773-543-8121",
"fax_number": "773-321-0193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALIZED AUDIOLOGY SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-17",
"last_updated": "2013-12-02",
"status": "A",
"authorized_official_last_name": "REGET",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
"authorized_official_telephone_number": "773-543-8121",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "IL",
"license": "147-000880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "357648455001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI NUMBER",
"identifier": "1598984007",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.