Organization
NORTHLAND HEARING CENTERS, INC.
Active
Other names
All American Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HOLT (GENERAL MANAGER)
(952) 486-8734
Entity
Organization
Contact information
Practice address
1265 S MILL ST, NASHVILLE, IL 62263-2004
(618) 327-4833
(618) 327-4841
Mailing address
1265 S MILL ST, NASHVILLE, IL 62263-2004
(618) 327-4833
(618) 327-4841
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2803
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2832016
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
05/19/2006
Last updated
04/20/2008
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