ASSOCIATED OTOLARYNGOLOGISTS OF DECATUR (NPI# 1184875189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184875189 |
Entity Type | Organization |
Organization Name | ASSOCIATED OTOLARYNGOLOGISTS OF DECATUR |
Practice Address |
101 W Mckinley Ave 101w Mckinley Ave Decatur IL 62526-3286 |
Mailing Address |
Po Box 2170 101w Mckinley Ave Decatur IL 62524-2170 |
Practice Telephone | 2178763372 |
Practice Fax Number | 2178763345 |
Mailing Telephone | 2178763372 |
Mailing Fax Number | 2178763345 |
Enumeration Date | 2008-10-08 |
Last Update Date | 2008-10-08 |
Authorized Official Name | DR. STEVE MARK SOBOL (ENT DOCTOR) |
Authorized Official Telephone | 2178763372 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332S00000X | Hearing Aid Equipment | 042006194 | IL | Suppliers |
Street Address |
101 W MCKINLEY AVE 101W MCKINLEY AVE |
City | DECATUR |
State | IL |
Zip Code | 62526-3286 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104883735 | Stephen J Chadwick | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 | 2006-04-27 |
1982123774 | Loretta Louise Hedges | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-13 |
1831617224 | Hannah Suzanne Gray | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-06 |
1194247239 | Alyssa Dale Fitzgerald | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-07-11 |
1932657038 | Ashley Patel | Physician Assistant | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2016-09-17 |
1922410851 | Therese Kistenfeger | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2014-05-27 |
1952570947 | James Klemens | Audiologist-Hearing Aid Fitter | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2008-02-25 |
1568646842 | Jeffrey Michael Ulis | Otolaryngology | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2007-12-22 |
1598722712 | Steven M Sobol | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62526 | 2006-05-01 |
1043278013 | Bethany T Gibson | Allergy & Immunology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62526 | 2006-05-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
Find all providers in zip 62526 |
Taxonomy Code | 332S00000X |
Grouping | Suppliers |
Classification | Hearing Aid Equipment |
The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114194529 | Alpha Hearing & Speech Centers Inc. | Hearing Aid Equipment | 2179 Lawrenceville Hwy, Suite 0, Decatur, GA 30033-4300 | 2008-05-14 |
1649822677 | Sensible Hearing | Hearing Aid Equipment | 235 S Main St, Decatur, IL 62523-1401 | 2019-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548818628 | Solange Renee Pilizota | Hearing Aid Equipment | 7183 Cermak Rd, Berwyn, IL 60402-2103 | 2019-08-31 |
1295261410 | Chicago Hearing LLC | Hearing Aid Equipment | 129 N Main St Unit 7, East Peoria, IL 61611-2543 | 2017-05-08 |
1831625052 | Chicago Hearing LLC | Hearing Aid Equipment | 4627 N University St, Peoria, IL 61614-5828 | 2017-05-08 |
1912433137 | Chicago Hearing LLC | Hearing Aid Equipment | 1865 N Henderson St Ste 4, Galesburg, IL 61401-1377 | 2017-05-08 |
1659807907 | Chicago Hearing LLC | Hearing Aid Equipment | 502 N Prospect Rd Ste 18, Bloomington, IL 61704-7725 | 2017-05-05 |
1932634755 | Hearing At Home | Hearing Aid Equipment | 3912 Lincoln Trl, Taylorville, IL 62568-7722 | 2017-04-30 |
1821538554 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 422 S 8th St, Quincy, IL 62301-4150 | 2017-02-28 |
1366982092 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 440 N Lafayette St, Macomb, IL 61455-1512 | 2017-02-28 |
1336690874 | Kathleen Lee | Hearing Aid Equipment | 7531 S Stony Island Ave Ste 155, Chicago, IL 60649-3954 | 2016-10-19 |
1457801946 | Audio Hearing Center | Hearing Aid Equipment | 1306 Broadway St, Mount Vernon, IL 62864-3717 | 2016-10-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.