Organization Active NPI

Wise Hearing Care, PLLC

  • Audiologist
  • Evanston, IL
National Provider Identifier
1982397832
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
WISE HEARING CARE, PLLC
Practice address
733 Chicago Ave Unit 326
Evanston, IL 60202-5002
Phone
(224) 350-2550
NPI assigned
May 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Authorized official

Name
Dr. Jeffrey Wayne Wise, AUDNPI 1164043188
Title
Owner
Phone
(224) 350-2550

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
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

733 Chicago Ave Unit 326
Evanston, IL 60202-5002

Mailing address

733 Chicago Ave Unit 326
Evanston, IL 60202-5002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230928002920 IL Part B Supplier - Clinic/Group Practice 3870947542 Receives reassigned benefits from 2 practitioners
Practice locations: Glenview, IL

National Provider Directory

National Provider Directory

Locations

731 Chicago Ave
Evanston, IL 60202
Phone (224) 350-2550

1939 Waukegan Rd
Ste 102
Glenview, IL 60025
Phone (224) 350-2550

Practitioners & affiliated clinicians

Practitioners 2

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": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1982397832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 CHICAGO AVE UNIT 326",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602025002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 CHICAGO AVE UNIT 326",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602025002",
            "telephone_number": "224-350-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE HEARING CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-27",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-350-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.