Organization Active NPI

Lincoln Park Hearing Center

  • Audiologist
  • Lisle, IL
National Provider Identifier
1518016989
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
LINCOLN PARK HEARING CENTER
Practice address
5480 Cascade Dr
Lisle, IL 60532-2043
Phone
(773) 883-3711
Fax
(773) 883-3764
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael James Siefert, M.A., CCC-A
Title
Vice President
Phone
(773) 883-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X IL Primary

Addresses

Primary practice location

5480 Cascade Dr
Lisle, IL 60532-2043

Mailing address

550 W Webster Ave
Lincoln Park Hearing Center
Chicago, IL 60614-3965
Phone (773) 883-3711

Other identifiers 3

IdentifierTypeStateIssuer
323429544-001MedicaidIL
344427601-001MedicaidIL
0001620960OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518016989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W WEBSTER AVE",
            "address_2": "LINCOLN PARK HEARING CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143965",
            "telephone_number": "773-883-3711",
            "fax_number": "773-883-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 CASCADE DR",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322043",
            "telephone_number": "773-883-3711",
            "fax_number": "773-883-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEFERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "773-883-3711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323429544-001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344427601-001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001620960",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • 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.