NPIMap

Organization Active NPI

Hearing & Balance Center, P.C.

  • Hearing and Speech Clinic/Center
  • Chicago, IL
National Provider Identifier
1104014893
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
HEARING & BALANCE CENTER, P.C.
Practice address
233 E Erie St
Suite 500
Chicago, IL 60611-2926
Phone
(312) 573-2039
Fax
(312) 944-0427
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Ms. Bridget R Kane, M.A.
Title
Owner
Phone
(312) 573-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X IL Primary

Addresses

Primary practice location

233 E Erie St
Suite 500
Chicago, IL 60611-2926

Mailing address

PO Box 135
4479 Lawn Ave
Western Springs, IL 60558-0135
Phone (630) 910-8977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080229000153 IL Part B Supplier - Clinic/Group Practice 4385728377 Practice locations: Burr Ridge, IL; Chicago, IL; La Grange, IL; Lagrange, IL; Western Springs, IL

National Provider Directory

National Provider Directory

Locations

4479 Lawn Ave
Unit 135
Western Springs, IL 60558

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1104014893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135",
            "address_2": "4479 LAWN AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605580135",
            "telephone_number": "630-910-8977",
            "fax_number": "312-944-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E ERIE ST",
            "address_2": "SUITE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112926",
            "telephone_number": "312-573-2039",
            "fax_number": "312-944-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING & BALANCE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-573-2039",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.