Organization
NORTHLAND HEARING CENTERS, INC.
Active
Other names
Northland Hearing Centers, Inc. dba Hearing Lab
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LEWIS LAYTART (CREDENTIALING SPECIALIST)
(952) 915-6248
Entity
Organization
Contact information
Practice address
3124 S ROUTE 59 STE 128, NAPERVILLE, IL 60564-7807
(630) 305-8771
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(800) 328-8602
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
05/29/2019
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