Organization Active NPI

Elite Audiology Group

  • Audiologist
  • Skokie, IL
National Provider Identifier
1093056996
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001315 Issued in IL
Legal business name
ELITE AUDIOLOGY GROUP
Practice address
3557 Dempster St
Skokie, IL 60076-2360
Phone
(847) 676-4327
Fax
(847) 586-9166
NPI assigned
Mar 3, 2013
Last updated
Mar 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Douglas A Steinberg, AU.D.NPI 1649400300
Title
Owner/Audiologist
Phone
(773) 330-1330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 147001315 IL Primary

Addresses

Primary practice location

3557 Dempster St
Skokie, IL 60076-2360

Mailing address

3557 Dempster St
Skokie, IL 60076-2360
Phone (847) 676-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130625000751 IL Part B Supplier - Clinic/Group Practice 2163661026 Receives reassigned benefits from 1 practitioner
Practice locations: Skokie, IL

National Provider Directory

National Provider Directory

Locations

3557 Dempster St
Skokie, IL 60076
Phone (847) 676-4327

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1093056996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3557 DEMPSTER ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762360",
            "telephone_number": "847-676-4327",
            "fax_number": "847-586-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 DEMPSTER ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762360",
            "telephone_number": "847-676-4327",
            "fax_number": "847-586-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE AUDIOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-03",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "773-330-1330",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.