NPIMap

Organization Active NPI

Waukegan Hearing Aid Center

  • Hearing Aid Equipment
  • Waukegan, IL
National Provider Identifier
1720058894
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
0007 Issued in IL
Legal business name
WAUKEGAN HEARING AID CENTER
Practice address
1702 Washington St
200
Waukegan, IL 60085-5153
Phone
(847) 336-0355
NPI assigned
Jan 23, 2006
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
Ms. Patricia M Boehm
Title
Secretary
Phone
(847) 244-9154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 0007 IL Primary

Addresses

Primary practice location

1702 Washington St
200
Waukegan, IL 60085-5153

Mailing address

1702 Washington St
200
Waukegan, IL 60085-5153
Phone (847) 336-0355

Other identifiers 3

IdentifierTypeStateIssuer
830098OtherILUNITED HEALTHCARE
0658752OtherILAETNA
04922140OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1702 Washington St
Ste 200
Waukegan, IL 60085
Phone (847) 336-0355

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720058894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 WASHINGTON ST",
            "address_2": "200",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855153",
            "telephone_number": "847-336-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 WASHINGTON ST",
            "address_2": "200",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855153",
            "telephone_number": "847-336-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKEGAN HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "847-244-9154",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "IL",
            "license": "0007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "830098",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0658752",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04922140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, 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.