Organization
NORTHLAND HEARING CENTERS, INC.
Active
Other names
All American Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HOLTZ (GENERAL MANAGER)
(952) 486-8734
Entity
Organization
Contact information
Practice address
1805 W MAIN ST, MARION, IL 62959-1157
(618) 998-0438
(618) 998-1789
Mailing address
1805 W MAIN ST, MARION, IL 62959-1157
(618) 998-0438
(618) 998-1789
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2767
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2832016
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
05/22/2006
Last updated
08/22/2020
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