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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