Organization Active NPI

Equilibrium Testing Corporation

  • Audiologist
  • Chicago, IL
National Provider Identifier
1477706141
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.000224 Issued in IL
Legal business name
EQUILIBRIUM TESTING CORPORATION
Practice address
600 N Dearborn St
Suite 1308
Chicago, IL 60654-6284
Phone
(312) 751-9677
Fax
(312) 751-9677
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mr. Roger Walter Larose, M.A.
Title
Director of Audiology
Phone
(312) 751-9677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 147.000224 IL Primary

Addresses

Primary practice location

600 N Dearborn St
Suite 1308
Chicago, IL 60654-6284

Mailing address

600 N Dearborn St
Suite 1308
Chicago, IL 60654-6284
Phone (312) 751-9677

Other names 1

  • Hearing Treatment Centers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1477706141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N DEARBORN ST",
            "address_2": "SUITE 1308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546284",
            "telephone_number": "312-751-9677",
            "fax_number": "312-751-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N DEARBORN ST",
            "address_2": "SUITE 1308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546284",
            "telephone_number": "312-751-9677",
            "fax_number": "312-751-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM TESTING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "LAROSE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "DIRECTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "312-751-9677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.000224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearing Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.