Active NPI
Midwest Audiology Inc.
- Assistive Technology Practitioner Audiologist
- Dixon, IL
National Provider Identifier
1922203298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Audiologist
- Legal business name
- MIDWEST AUDIOLOGY INC.
- Practice address
- 404 N Galena Ave
Ste 120
Dixon, IL 61021-2115 - Phone
- (815) 288-1111
- Fax
- (815) 288-1111
- NPI assigned
- Jun 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rebecca Ramsey Fogel, M.A., CCC-A
- Title
- President
- Phone
- (815) 288-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | IL | Primary |
Addresses
Primary practice location
404 N Galena Ave
Ste 120
Dixon, IL 61021-2115
Mailing address
109 Pooler Ave
Dekalb, IL 60115-4626
Phone (181) 575-1224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03803 | Other | CO | HEARUSA, HEARING CARE NET |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922203298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 POOLER AVE",
"city": "DEKALB",
"state": "IL",
"postal_code": "601154626",
"telephone_number": "181-575-1224",
"fax_number": "815-754-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N GALENA AVE",
"address_2": "STE 120",
"city": "DIXON",
"state": "IL",
"postal_code": "610212115",
"telephone_number": "815-288-1111",
"fax_number": "815-288-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST AUDIOLOGY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FOGEL",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "RAMSEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-288-1111",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.A., CCC-A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARUSA, HEARING CARE NET",
"identifier": "03803",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dixon, 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.