Provider Demographics
NPI:1316082134
Name:CONSULTING AUDIOLOGICAL ASSOCIATES
Entity type:Organization
Organization Name:CONSULTING AUDIOLOGICAL ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:BEITER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:708-445-7171
Mailing Address - Street 1:6905 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1041
Mailing Address - Country:US
Mailing Address - Phone:708-445-7171
Mailing Address - Fax:708-445-2616
Practice Address - Street 1:6905 NORTH AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1041
Practice Address - Country:US
Practice Address - Phone:708-445-7171
Practice Address - Fax:708-445-2616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty