Organization Active NPI

Lake Forest Hearing Professionals, LLC

  • Audiologist-Hearing Aid Fitter
  • Lake Forest, IL
National Provider Identifier
1902079940
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
147000029 Issued in IL
Legal business name
LAKE FOREST HEARING PROFESSIONALS, LLC
Practice address
225 E Deerpath Ste 223
Lake Forest, IL 60045-1973
Phone
(847) 295-1185
Fax
(847) 295-1165
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Dr. Lori Ann Halvorson, AUD, FAAANPI 1093903908
Title
Doctor of Audiology
Phone
(847) 295-1185

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-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 147000029 IL Primary

Addresses

Primary practice location

225 E Deerpath Ste 223
Lake Forest, IL 60045-1973

Mailing address

225 E Deerpath Ste 223
Lake Forest, IL 60045-1973
Phone (847) 295-1185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050217000845 IL Part B Supplier - Clinic/Group Practice 9335191311 Receives reassigned benefits from 1 practitioner
Practice locations: Northfield, IL; Lake Forest, IL; Chicago, IL

National Provider Directory

National Provider Directory

Locations

225 E Deerpath
Ste 200
Lake Forest, IL 60045
Phone (847) 295-1185

225 E Deerpath
Ste 223
Lake Forest, IL 60045
Phone (847) 295-1185

400 Central Ave
Ste 100
Northfield, IL 60093
Phone (847) 295-1185

790 W Frontage Rd
#329
Northfield, IL 60093
Phone (847) 295-1185

330 W Frontage Rd
Fl 2A
Northfield, IL 60093
Phone (847) 295-1185

Practitioners & affiliated clinicians

Practitioners 6

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": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1902079940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E DEERPATH STE 223",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451973",
            "telephone_number": "847-295-1185",
            "fax_number": "847-295-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E DEERPATH STE 223",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451973",
            "telephone_number": "847-295-1185",
            "fax_number": "847-295-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOREST HEARING PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "HALVORSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "847-295-1185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD, FAAA"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147000029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.