Organization
RIVERSIDE HEARING AID SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT F RYBARCZYK (OWNER)
(815) 477-1234
Entity
Organization
Contact information
Practice address
1330 N RIVERSIDE DRIVE, MCHENRY, IL 60050
(815) 344-4060
Mailing address
1330 N RIVERSIDE DRIVE, MCHENRY, IL 60050
(815) 344-4060
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0075
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352226392002
—
IL
Enumeration date
05/08/2007
Last updated
07/08/2008
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