Provider Demographics
NPI:1063964989
Name:AUDIBEL HEARING AID CENTER, INC
Entity type:Organization
Organization Name:AUDIBEL HEARING AID CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WENC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-362-7500
Mailing Address - Street 1:1410 S MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3796
Mailing Address - Country:US
Mailing Address - Phone:847-362-7500
Mailing Address - Fax:847-362-7506
Practice Address - Street 1:1410 S MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3796
Practice Address - Country:US
Practice Address - Phone:847-362-7500
Practice Address - Fax:847-362-7506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3008332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment