Provider Demographics
NPI:1407094683
Name:GN HEARING CARE CORPORATION
Entity type:Organization
Organization Name:GN HEARING CARE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PYRTKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-591-4046
Mailing Address - Street 1:2601 PATRIOT BLVD
Mailing Address - Street 2:AP RETAIL
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-8023
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12203 E ILIFF AVE STE C
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5314
Practice Address - Country:US
Practice Address - Phone:303-696-2696
Practice Address - Fax:303-696-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment