Organization
NAPERVILLE HEARING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE J SIEFERT M.A. (OWNER/AUDIOLOGIST)
(630) 960-0213
Entity
Organization
Contact information
Practice address
10 W MARTIN AVE, NAPERVILLE, IL 60540-6535
(630) 355-5668
(630) 355-2071
Mailing address
5480 CASCADE DR, LISLE, IL 60532-2043
(630) 960-0213
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000266
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2225522
BLUE SHIELD NUMBER
IL
Enumeration date
12/31/2007
Last updated
12/31/2007
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