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Organization
JOHN REIMBOLD
Active
Organization
JOHN REIMBOLD
Active
Other names
Carbondale Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH A HICKS (OFFICE MANAGER)
(618) 457-6643
Entity
Organization
Contact information
Practice address
1717 W MAIN STREET, CARBONDALE, IL 62901
(618) 457-6643
(618) 457-6643
Mailing address
PO BOX 1058, 1717 W MAIN STREET, CARBONDALE, IL 62903-1058
(618) 457-6643
(618) 457-6643
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000156
IL
231H00000X
Audiologist
147000788
IL
231H00000X
Audiologist
147001158
IL
237700000X
Hearing Instrument Specialist
0394
IL
332B00000X
Durable Medical Equipment & Medical Supplies
2354
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359446176001
—
IL
Enumeration date
07/28/2006
Last updated
10/13/2022
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