Organization
NORTHLAND HEARING CENTERS, INC.
Active
Other names
All American Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HOLTZ (GENERAL MANAGER)
(952) 486-8734
Entity
Organization
Contact information
Practice address
19 W FRANKFORT PLZ, WEST FRANKFORT, IL 62896-4964
(618) 937-2492
(618) 937-3418
Mailing address
19 W FRANKFORT PLZ, WEST FRANKFORT, IL 62896-4964
(618) 937-2492
(618) 937-3418
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0206
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2832016
BLUE CROSS/BLUE SHIELD IL
IL
Enumeration date
05/17/2006
Last updated
08/22/2020
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