Organization Active NPI

Northwest Professional Hearing Centers, Inc.

  • Audiologist
  • La Grange Highlands, IL
National Provider Identifier
1689879835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2830 Issued in IL
Legal business name
NORTHWEST PROFESSIONAL HEARING CENTERS, INC.
Practice address
6555 Willow Springs Rd
Suite 11
La Grange Highlands, IL 60525-4591
Phone
(708) 579-9458
Fax
(708) 579-9561
NPI assigned
Jun 18, 2007
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. Craig A. Michalak
Title
Vice President
Phone
(708) 579-9458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 2830 IL Primary

Addresses

Primary practice location

6555 Willow Springs Rd
Suite 11
La Grange Highlands, IL 60525-4591

Mailing address

6555 Willow Springs Rd
Suite 11
La Grange Highlands, IL 60525-4591
Phone (708) 579-9458

Other identifiers 3

IdentifierTypeStateIssuer
01633818OtherILBLUECROSS BLUESHIELD
346563304001MedicaidIL
1912037839OtherILPROVIDER JILL MICHALAK

National Provider Directory

National Provider Directory

Locations

6555 Willow Springs Rd
Ste 11
La Grange Highlands, IL 60525
Phone (708) 579-9458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689879835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 WILLOW SPRINGS RD",
            "address_2": "SUITE 11",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605254591",
            "telephone_number": "708-579-9458",
            "fax_number": "708-579-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 WILLOW SPRINGS RD",
            "address_2": "SUITE 11",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605254591",
            "telephone_number": "708-579-9458",
            "fax_number": "708-579-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PROFESSIONAL HEARING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHALAK",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-579-9458",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IL",
            "license": "2830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "01633818",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346563304001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER JILL MICHALAK",
            "identifier": "1912037839",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Highlands, 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.