Provider Demographics
NPI:1538405964
Name:AUDIOLOGIC SERVICES, LTD.
Entity type:Organization
Organization Name:AUDIOLOGIC SERVICES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURBA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:630-858-3277
Mailing Address - Street 1:487 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-4403
Mailing Address - Country:US
Mailing Address - Phone:630-858-3277
Mailing Address - Fax:630-858-6932
Practice Address - Street 1:501 THORNHILL DR
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2793
Practice Address - Country:US
Practice Address - Phone:630-529-3277
Practice Address - Fax:630-690-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty