Organization Active NPI

Specialized Audiology Services PC

  • Audiologist
  • Park Ridge, IL
National Provider Identifier
1053610055
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147-000880 Issued in IL
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

Updated by the provider on Dec 2, 2013

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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
357648455001MedicaidIL
1598984007OtherPERSONAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.