Organization
GREENVILLE HEARING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA L. KUTZ AUD., CCC-A (AUDIOLOGIST)
(618) 664-1146
Entity
Organization
Contact information
Practice address
310 S 3RD ST, GREENVILLE, IL 62246-1733
(618) 664-1146
(618) 664-4576
Mailing address
310 S 3RD ST, GREENVILLE, IL 62246-1733
(618) 664-1146
(618) 664-4576
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-00177
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000332001
BLUECROSS BLUESHIELD INS.
IL
05
—
355522908001
—
IL
01
—
4500135
UNITED HEALTHCARE
IL
01
—
478224
HEALTHLINK INSURANCE
IL
Enumeration date
11/22/2006
Last updated
05/21/2013
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