Provider Demographics
NPI:1992084255
Name:MIDWEST HEARING HEALTH
Entity type:Organization
Organization Name:MIDWEST HEARING HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-820-8653
Mailing Address - Street 1:1256 WATERFORD DR
Mailing Address - Street 2:SUITE170
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4510
Mailing Address - Country:US
Mailing Address - Phone:630-820-6982
Mailing Address - Fax:
Practice Address - Street 1:1256 WATERFORD DR
Practice Address - Street 2:SUITE170
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4510
Practice Address - Country:US
Practice Address - Phone:630-820-6982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty