Organization Active NPI

Hearing and Balance, LLC

  • Otolaryngology Physician
  • Northbrook, IL
National Provider Identifier
1255685749
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
HEARING AND BALANCE, LLC
Practice address
5 Revere Dr
Ste 400
Northbrook, IL 60062-1566
Phone
(847) 509-7331
Fax
(847) 509-7336
NPI assigned
Nov 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Mr. Christopher Tonner
Title
Manager
Phone
(847) 462-6962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

5 Revere Dr
Ste 400
Northbrook, IL 60062-1566

Mailing address

5 Revere Dr
Ste 400
Northbrook, IL 60062-1566
Phone (847) 509-7331

National Provider Directory

National Provider Directory

Locations

5 Revere Dr
Ste 400
Northbrook, IL 60062
Phone (847) 509-7331

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1255685749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DR",
            "address_2": "STE 400",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621566",
            "telephone_number": "847-509-7331",
            "fax_number": "847-509-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REVERE DR",
            "address_2": "STE 400",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621566",
            "telephone_number": "847-509-7331",
            "fax_number": "847-509-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING AND BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "TONNER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-462-6962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

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