North Side Audiology Group, Inc.

LBN: North Side Audiology Group, Inc.
North Side Audiology Group, Inc. is an health care organization with primary practice located at 4200 W. Peterson Ave. Suite 100, Chicago IL 60646-6052. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as the primary health care specialty. North Side Audiology Group, Inc. can be contacted via phone (773) 777-3277, or through Popowych, Daria T via phone (773) 777-3277.

Contact Information

Primary practice address
4200 W. Peterson Ave. Suite 100 Chicago IL 60646-6052
Phone: (773) 777-3277
Fax: (773) 777-2878
Website:
Map and Directions
Authorized official contact:
Name: Popowych, Daria T MS CCCA
Phone: (773) 777-3277

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147000241 Illinois
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147000271 Illinois

Profile Details

NPI number 1053442491
LBN Legal business name North Side Audiology Group, Inc.
DBA Doing business as
Authorized official Popowych, Daria T MS CCCA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Dec 7th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053442491 NPPES
Illinois MEDICAID 333608331001
Illinois MEDICAID 265496573001

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