Active NPI
Susan Sacks Audiology Services P.C.
- Audiologist
- St Charles, IL
National Provider Identifier
1982893871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- SUSAN SACKS AUDIOLOGY SERVICES P.C.
- Practice address
- 960 N 5TH Ave Ste a
St Charles, IL 60174-1205 - Phone
- (630) 377-1138
- NPI assigned
- Oct 17, 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
- Susan Sacks
- Title
- President
- Phone
- (630) 377-1138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | IL | Primary |
Addresses
Primary practice location
960 N 5TH Ave Ste a
St Charles, IL 60174-1205
Mailing address
960 N 5TH Ave Ste a
St Charles, IL 60174-1205
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699724211 | Other | IL | NPI |
| 270867024001 | Medicaid | IL | |
| 1407966278 | Other | IL | NPI |
| 530744404001 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
960 N 5th Ave
Ste A
St Charles, IL 60174
Phone (630) 377-1138
960 N 5th Ave
St Charles, IL 60174
Phone (630) 377-1138
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Elgin, IL
- NPI 1699724211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1982893871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 N 5TH AVE STE A",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 N 5TH AVE STE A",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741205",
"telephone_number": "630-377-1138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN SACKS AUDIOLOGY SERVICES P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "SACKS",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-377-1138"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1699724211",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270867024001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1407966278",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "530744404001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.