NPIMap

Organization Active NPI

Prov35 Inc

  • Hearing Instrument Specialist
  • Elgin, IL
National Provider Identifier
1326104035
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2900 Issued in IL
Legal business name
PROV35 INC
Doing business as
Beltone Better Hearing
Practice address
75 Market St
Suite 9
Elgin, IL 60123-5093
Phone
(847) 742-6616
Fax
(847) 742-5735
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Erik Alan Lindberg, BS HIS
Title
Owner Sole
Phone
(847) 742-6616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X 2900 IL Primary

Addresses

Primary practice location

75 Market St
Suite 9
Elgin, IL 60123-5093

Mailing address

75 Market St
Suite 9
Elgin, IL 60123-5093
Phone (847) 742-6616

Other identifiers 2

IdentifierTypeStateIssuer
4522353OtherILBCBSIL
7402787OtherILAETNA

Other names 1

  • Beltone Better Hearing Doing business as

National Provider Directory

National Provider Directory

Locations

75 Market St
Ste 9
Elgin, IL 60123
Phone (847) 742-6616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1326104035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MARKET ST",
            "address_2": "SUITE 9",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235093",
            "telephone_number": "847-742-6616",
            "fax_number": "847-742-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MARKET ST",
            "address_2": "SUITE 9",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235093",
            "telephone_number": "847-742-6616",
            "fax_number": "847-742-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROV35 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER SOLE",
        "authorized_official_telephone_number": "847-742-6616",
        "authorized_official_credential": "BS HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "2900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "4522353",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7402787",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beltone Better Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.