Active NPI
Richard John Herstowski Jr.
- Hearing Instrument Specialist
- Darien, IL
National Provider Identifier
1093017915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3022
- Practice address
- 3253 Brewer Rd
Darien, IL 60561-1750 - Phone
- (630) 210-5061
- NPI assigned
- Nov 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3022 | IL | Primary |
Addresses
Primary practice location
3253 Brewer Rd
Darien, IL 60561-1750
Mailing address
3253 Brewer Rd
Darien, IL 60561-1750
Phone (630) 210-5061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3022 | IL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093017915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3253 BREWER RD",
"city": "DARIEN",
"state": "IL",
"postal_code": "605611750",
"telephone_number": "630-210-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3253 BREWER RD",
"city": "DARIEN",
"state": "IL",
"postal_code": "605611750",
"telephone_number": "630-210-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSTOWSKI",
"first_name": "RICHARD",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "3022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darien, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.