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
JEFFREY L. LONGAIN (PRESIDENT)
(702) 798-0113
Entity
Organization
Contact information
Practice address
2419 W. BROADWAY, MT. VERNON, IL 62864
(618) 241-9292
(618) 242-1727
Mailing address
2510 E SUNSET RD, UNIT 5-260, LAS VEGAS, NV 89120-3511
(702) 798-0113
(866) 291-5242
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
0410018001
IL
237700000X
Hearing Instrument Specialist
2796
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2832016
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
05/18/2006
Last updated
10/01/2014
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