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Organization
PRO EAR INC.
Active
Organization
PRO EAR INC.
Active
Other names
Miracle-Ear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS ANTHONY HAYNES B.C., NBC-HIS AUDIOP (OWNER/PRESIDENT)
(815) 988-1830
Entity
Organization
Contact information
Practice address
801 N. PERRYVILLE RD, SUITE #2, ROCKFORD, IL 61107-6232
(815) 397-4327
(815) 397-4341
Mailing address
801 N. PERRYVILLE RD, SUITE #2, ROCKFORD, IL 61107-6232
(815) 397-4327
(815) 397-4341
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330500518001
—
IL
Enumeration date
03/08/2007
Last updated
08/24/2023
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