NPIMap

Organization Active NPI

Sycamore Hearing Aid Center

  • Hearing and Speech Clinic/Center
  • Sycamore, IL
National Provider Identifier
1528225596
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
147-000688 Issued in IL
Legal business name
SYCAMORE HEARING AID CENTER
Practice address
2535 Bethany Rd
Suite 100
Sycamore, IL 60178-3126
Phone
(815) 787-4327
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Mrs. Sandra Broaddus, M S CCC A
Title
Owner
Phone
(815) 787-4237

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 147-000688 IL Primary
Hearing Aid Equipment 332S00000X 147-000688 IL

Addresses

Primary practice location

2535 Bethany Rd
Suite 100
Sycamore, IL 60178-3126

Mailing address

2535 Bethany Road
Suite 100
Sycamore, IL 60178
Phone (815) 787-4327

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1528225596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 BETHANY ROAD",
            "address_2": "SUITE 100",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60178",
            "telephone_number": "815-787-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 BETHANY RD",
            "address_2": "SUITE 100",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783126",
            "telephone_number": "815-787-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BROADDUS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-787-4237",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M S CCC A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IL",
            "license": "147-000688",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "IL",
            "license": "147-000688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

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