Provider Demographics
NPI:1427811165
Name:NORTH SHORE AUDIOLOGY CONSULTANTS, PLLC
Entity type:Organization
Organization Name:NORTH SHORE AUDIOLOGY CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:847-432-5555
Mailing Address - Street 1:1160 PARK AVE W STE 4S
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2271
Mailing Address - Country:US
Mailing Address - Phone:847-432-5555
Mailing Address - Fax:847-432-5554
Practice Address - Street 1:1160 PARK AVE W STE 4S
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2271
Practice Address - Country:US
Practice Address - Phone:847-432-5555
Practice Address - Fax:847-432-5554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty