Active NPI
Hearing Choices Dba Jefferson Hearing Aid
- Audiologist
- Bolingbrook, IL
National Provider Identifier
1629220371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147000011
- Legal business name
- HEARING CHOICES DBA JEFFERSON HEARING AID
- Practice address
- 391 Quadrangle Dr
Suite S-1
Bolingbrook, IL 60440-3442 - Phone
- (630) 226-0327
- NPI assigned
- Oct 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dawn R Kovacik, M.A. CCC-A
- Title
- Audiologist
- Phone
- (630) 226-0327
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147000011 | IL | Primary |
| Audiologist | 231H00000X | 147001095 | IL |
Addresses
Primary practice location
391 Quadrangle Dr
Suite S-1
Bolingbrook, IL 60440-3442
Mailing address
391 Quadrangle Dr
Suite S-1
Bolingbrook, IL 60440-3442
Phone (630) 226-0327
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223942400000",
"number": "1629220371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 QUADRANGLE DR",
"address_2": "SUITE S-1",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604403442",
"telephone_number": "630-226-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 QUADRANGLE DR",
"address_2": "SUITE S-1",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604403442",
"telephone_number": "630-226-0327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARING CHOICES DBA JEFFERSON HEARING AID",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-14",
"last_updated": "2008-10-14",
"status": "A",
"authorized_official_last_name": "KOVACIK",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "630-226-0327",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.A. CCC-A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": "IL",
"license": "147000011",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": "IL",
"license": "147001095",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.