Organization Active NPI

Hearing Choices Dba Jefferson Hearing Aid

  • Audiologist
  • Bolingbrook, IL
National Provider Identifier
1629220371
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147000011 Issued in IL
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

Updated by the provider on Oct 14, 2008

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)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 147000011 IL Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.