Organization
HEART OF ILLINOIS HEARING LLC
Active
Organization
HEART OF ILLINOIS HEARING LLC
Active
Other names
Heart of Illinois Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK HEFLIN (HCP/VP)
(309) 681-8500
Entity
Organization
Contact information
Practice address
5401 N KNOXVILLE AVE STE 116, PEORIA, IL 61614-5011
(309) 681-8500
Mailing address
137 FAWN HAVEN DR, EAST PEORIA, IL 61611-1879
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
06/05/2019
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