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Organization
GLASENHARDT AV, INC.
Active
Organization
GLASENHARDT AV, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA M GLASENHARDT AUD (PRESIDENT)
(773) 805-3534
Entity
Organization
Contact information
Practice address
5015 N PAULINA ST STE 214, CHICAGO, IL 60640-2756
(847) 769-3948
Mailing address
5015 N PAULINA ST STE 214, CHICAGO, IL 60640-2756
(773) 805-3534
(773) 285-6333
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001288
IL
231HA2400X
Assistive Technology Practitioner Audiologist
147001288
IL
231HA2500X
Assistive Technology Supplier Audiologist
147001288
IL
237600000X
Audiologist-Hearing Aid Fitter
147001288
IL
237700000X
Hearing Instrument Specialist
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
03/02/2018
Last updated
06/29/2021
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