Organization Active NPI

Advanced Audiology Consultants, LLC

  • Audiologist
  • Woodridge, IL
National Provider Identifier
1689910259
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001250 Issued in IL
Legal business name
ADVANCED AUDIOLOGY CONSULTANTS, LLC
Practice address
6440 Main St Ste 120
Woodridge, IL 60517-1281
Phone
(630) 930-1025
Fax
(630) 622-4784
NPI assigned
Dec 29, 2012
Last updated
Jan 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Dr. Dawn W Heiman, AU.D.NPI 1558366120
Title
Owner
Phone
(630) 930-1025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001250 IL Primary

Addresses

Primary practice location

6440 Main St Ste 120
Woodridge, IL 60517-1281

Mailing address

5923 Sherman Dr
Woodridge, IL 60517-1019
Phone (630) 930-1025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131025000089 IL Part B Supplier - Clinic/Group Practice 6800021965 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Brook, IL

National Provider Directory

National Provider Directory

Locations

900 Jorie Blvd
Ste 110
Oak Brook, IL 60523
Phone (630) 930-1025

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1689910259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5923 SHERMAN DR",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171019",
            "telephone_number": "630-930-1025",
            "fax_number": "630-622-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 MAIN ST STE 120",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171281",
            "telephone_number": "630-930-1025",
            "fax_number": "630-622-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AUDIOLOGY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-29",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "HEIMAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-930-1025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.