Professional Hearing Centers, Inc

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

0229 Issued in IL

Legal business name

PROFESSIONAL HEARING CENTERS, INC

Doing business as

Professional Hearing Health Centers

Practice address

1415 E State St
Camelot Towers, Ste A1
Rockford, IL 61104-2333

Phone

(815) 979-4112

Fax

(815) 332-9668

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald R Kleindl II, B.C., A.C.A., HIS,

Title

President Cert Audioprosthologist

Phone

(815) 979-4112

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Professional Hearing Health Centers Doing business as

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346361383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E STATE ST",
            "city": "CHERRY VALLEY",
            "state": "IL",
            "postal_code": "610169363",
            "telephone_number": "815-332-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E STATE ST",
            "address_2": "CAMELOT TOWERS, STE A1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042333",
            "telephone_number": "815-979-4112",
            "fax_number": "815-332-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEARING CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEINDL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT CERT  AUDIOPROSTHOLOGIST",
        "authorized_official_telephone_number": "815-979-4112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "B.C., A.C.A., HIS,"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "0229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL BLUE CROSS",
            "identifier": "07232026",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Hearing Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Audiologist-Hearing Aid Fitter in Rockford, IL
• Providers in Rockford, IL by specialty
• Audiologist-Hearing Aid Fitter in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.