Provider Demographics
NPI:1316761703
Name:EARLOGICS INC.
Entity type:Organization
Organization Name:EARLOGICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:PINAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KERAI
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:269-267-7181
Mailing Address - Street 1:465 SHANNON PKWY
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-7877
Mailing Address - Country:US
Mailing Address - Phone:269-267-7181
Mailing Address - Fax:
Practice Address - Street 1:100 ILLINOIS ST STE 200
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-1867
Practice Address - Country:US
Practice Address - Phone:847-301-4044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech