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Organization

NORTHLAND HEARING CENTERS, INC.

Active
Other names
All American Hearing
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER REMER (INSURANCE MANAGER)
(952) 300-6218
Entity
Organization

Contact information

Practice address
1377 SPARTA CENTRE DR BLDG B, SPARTA, IL 62286-2311
(618) 443-1918
(618) 443-4278
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
07900163001
IL
237700000X
Hearing Instrument Specialist
2005
IL
261QH0700X
Hearing and Speech Clinic/Center
Primary
332S00000X
Hearing Aid Equipment

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2832016
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
05/18/2006
Last updated
05/09/2024
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