Organization Active NPI

Expert Hearing LLC

  • Audiologist
  • Downers Grove, IL
National Provider Identifier
1104360338
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.000224 Issued in IL
Legal business name
EXPERT HEARING LLC
Practice address
1034 Warren Ave
Downers Grove, IL 60515-3601
Phone
(312) 730-7339
NPI assigned
Dec 7, 2016
Last updated
Dec 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Roger Walter Larose, M.A.
Title
Audiologist
Phone
(219) 243-8077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 147.000224 IL Primary

Addresses

Primary practice location

1034 Warren Ave
Downers Grove, IL 60515-3601

Mailing address

1034 Warren Ave
Downers Grove, IL 60515-3601
Phone (312) 730-7339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1104360338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 WARREN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153601",
            "telephone_number": "312-730-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 WARREN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153601",
            "telephone_number": "312-730-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT HEARING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "LAROSE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "219-243-8077",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.000224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.