Streator Hearing Care LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147.000596 Issued in IL

Legal business name

STREATOR HEARING CARE LLC

Practice address

205 S Park St
Streator, IL 61364-4448

Phone

(815) 673-2869

Fax

(815) 672-9225

NPI assigned

Sep 1, 2011

Organization subpart

No

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

Authorized official

Name

Darcy L Beals, MS CCC-A

Title

Owner

Phone

(815) 673-2869

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1760763908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S PARK ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613644448",
            "telephone_number": "815-673-2869",
            "fax_number": "815-672-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S PARK ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613644448",
            "telephone_number": "815-673-2869",
            "fax_number": "815-672-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREATOR HEARING CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "BEALS",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-673-2869",
        "authorized_official_credential": "MS CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.000596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Streator, IL
• Providers in Streator, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.