Active NPI
Northwest Professional Hearing Centers, Inc.
- Audiologist
- La Grange Highlands, IL
National Provider Identifier
1689879835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2830
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01633818 | Other | IL | BLUECROSS BLUESHIELD |
| 346563304001 | Medicaid | IL | |
| 1912037839 | Other | IL | PROVIDER JILL MICHALAK |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Audiologist
- La Grange Highlands, IL
- NPI 1912037839
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.