Organization
NORTHWEST PROFESSIONAL HEARING CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG A. MICHALAK (VICE PRESIDENT)
(708) 579-9458
Entity
Organization
Contact information
Practice address
6555 WILLOW SPRINGS RD, SUITE 11, LA GRANGE HIGHLANDS, IL 60525-4591
(708) 579-9458
(708) 579-9561
Mailing address
6555 WILLOW SPRINGS RD, SUITE 11, LA GRANGE HIGHLANDS, IL 60525-4591
(708) 579-9458
(708) 579-9561
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2830
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633818
BLUECROSS BLUESHIELD
IL
01
—
1912037839
PROVIDER JILL MICHALAK
IL
05
—
346563304001
—
IL
Enumeration date
06/18/2007
Last updated
08/22/2020
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