Organization
NORTHLAND HEARING CENTERS, INC.
Active
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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