Organization Active NPI

Susan Rogan Hearing, Inc

  • Audiologist
  • Downers Grove, IL
National Provider Identifier
1871705798
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147000150 Issued in IL
Legal business name
SUSAN ROGAN HEARING, INC
Practice address
1501 Ogden Ave
Downers Grove, IL 60515-2742
Phone
(630) 969-1677
Fax
(630) 969-4384
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Mrs. Susan D Menozi, AUD
Title
Audiologist
Phone
(630) 969-1677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 147000150 IL Primary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 147000150 IL

Addresses

Primary practice location

1501 Ogden Ave
Downers Grove, IL 60515-2742

Mailing address

1501 Ogden Ave
Downers Grove, IL 60515-2742
Phone (630) 969-1677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070810000255 IL Part B Supplier - Clinic/Group Practice 4082705629 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Downers Grove, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1501 Ogden Ave
Ste 1
Downers Grove, IL 60515

419 N La Grange Rd
Ste 1
La Grange Park, IL 60526
Phone (708) 588-0155

419 N La Grange Rd
La Grange Park, IL 60526

Practitioners & affiliated clinicians

Practitioners 5

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1871705798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152742",
            "telephone_number": "630-969-1677",
            "fax_number": "630-969-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152742",
            "telephone_number": "630-969-1677",
            "fax_number": "630-969-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN ROGAN HEARING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "MENOZI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "630-969-1677",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000150",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147000150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.