NPIMap

Organization Active NPI

Associated Hearing Services, P.C.

  • Audiologist
  • Evergreen Park, IL
National Provider Identifier
1164612727
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147000328 Issued in IL
Legal business name
ASSOCIATED HEARING SERVICES, P.C.
Practice address
3860 W 95TH St
Evergreen Park, IL 60805-2034
Phone
(708) 422-3500
Fax
(708) 422-3989
NPI assigned
Jul 30, 2007
Last updated
Jul 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Mrs. Wynnette J. Moneka, M.A. CCC/ANPI 1144436270
Title
President/Audiologist
Phone
(708) 422-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147000328 IL Primary

Addresses

Primary practice location

3860 W 95TH St
Evergreen Park, IL 60805-2034

Mailing address

3860 W 95TH St
Evergreen Park, IL 60805-2034
Phone (708) 422-3500

Other identifiers 3

IdentifierTypeStateIssuer
352344015001MedicaidIL
640003234OtherILRAILROAD RETIREMENT BOARD
01621288OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3860 W 95th St
Evergreen Pk, IL 60805
Phone (708) 422-3500

Practitioners & affiliated clinicians

Practitioners 3

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": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1164612727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052034",
            "telephone_number": "708-422-3500",
            "fax_number": "708-422-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052034",
            "telephone_number": "708-422-3500",
            "fax_number": "708-422-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED HEARING SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "MONEKA",
        "authorized_official_first_name": "WYNNETTE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/AUDIOLOGIST",
        "authorized_official_telephone_number": "708-422-3500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC/A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352344015001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT BOARD",
            "identifier": "640003234",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01621288",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.