Organization Active NPI

Jagasia Audiology, Inc

  • Hearing and Speech Clinic/Center
  • Libertyville, IL
National Provider Identifier
1285802108
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
JAGASIA AUDIOLOGY, INC
Practice address
1199 S Milwaukee Ave
Libertyville, IL 60048-3716
Phone
(847) 996-0560
Fax
(847) 996-0562
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Theresa Beth Jagasia, AU.D.
Title
Doctor of Audiology/President
Phone
(847) 996-0560

Specialties & licenses 1

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

Addresses

Primary practice location

1199 S Milwaukee Ave
Libertyville, IL 60048-3716

Mailing address

1199 S Milwaukee Ave
Libertyville, IL 60048-3716
Phone (847) 996-0560

National Provider Directory

National Provider Directory

Locations

1199 S Milwaukee Ave
Libertyville, IL 60048
Phone (630) 469-6061

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1285802108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483716",
            "telephone_number": "847-996-0560",
            "fax_number": "847-996-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483716",
            "telephone_number": "847-996-0560",
            "fax_number": "847-996-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGASIA AUDIOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "JAGASIA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY/PRESIDENT",
        "authorized_official_telephone_number": "847-996-0560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.