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Organization

PROV35 INC

Active
Other names
Beltone Better Hearing
Organization subpart
No

Provider details

NPI number
Authorized official
ERIK ALAN LINDBERG BS HIS (OWNER SOLE)
(847) 742-6616
Entity
Organization

Contact information

Practice address
75 MARKET ST, SUITE 9, ELGIN, IL 60123-5093
(847) 742-6616
(847) 742-5735
Mailing address
75 MARKET ST, SUITE 9, ELGIN, IL 60123-5093
(847) 742-6616
(847) 742-5735

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2900
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4522353
BCBSIL
IL
01
7402787
AETNA
IL
Enumeration date
12/28/2006
Last updated
06/19/2008
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