Organization
PROFESSIONAL HEARING CENTERS, INC
Active
Other names
Professional Hearing Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD R KLEINDL II B.C., A.C.A., HIS, (PRESIDENT CERT AUDIOPROSTHOLOGIST)
(815) 979-4112
Entity
Organization
Contact information
Practice address
1415 E STATE ST, CAMELOT TOWERS, STE A1, ROCKFORD, IL 61104-2333
(815) 979-4112
(815) 332-9668
Mailing address
805 E STATE ST, CHERRY VALLEY, IL 61016-9363
(815) 332-5350
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
0229
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07232026
IL BLUE CROSS
IL
Enumeration date
04/03/2007
Last updated
08/22/2020
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