MIDWEST AUDIOLOGY INC. (NPI# 1922203298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922203298 |
| Entity Type | Organization |
| Organization Name | MIDWEST AUDIOLOGY INC. |
| Practice Address |
404 N Galena Ave Ste 120 Dixon IL 61021-2115 |
| Mailing Address |
109 Pooler Ave Dekalb IL 60115-4626 |
| Practice Telephone | 8152881111 |
| Practice Fax Number | 8152881111 |
| Mailing Telephone | 1815751224 |
| Mailing Fax Number | 8157540993 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. REBECCA RAMSEY FOGEL (PRESIDENT) |
| Authorized Official Telephone | 8152881111 |
| Authorized Official Credential | M.A., CCC-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | HEARUSA, HEARING CARE NET | 03803 | 01 |
| Street Address |
404 N GALENA AVE STE 120 |
| City | DIXON |
| State | IL |
| Zip Code | 61021-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427092964 | Robert Lucas Johnson | Chiropractor | 404 N Galena Ave, Dixon, IL 61021-2115 | 2006-06-15 |
| 1992126957 | Cml Health Inc | In Home Supportive Care | 404 N Galena Ave, Ste 110, Dixon, IL 61021-2115 | 2013-12-18 |
| 1396082087 | Path To Healing, Inc. | Community/Behavioral Health | 404 N Galena Ave, Suite L10, Dixon, IL 61021-2115 | 2013-01-15 |
| 1689927352 | Connect Hearing, Inc. | Audiologist | 404 N Galena Ave, Suite 120, Dixon, IL 61021-2115 | 2012-10-18 |
| 1265460570 | Eric Dean Forman | Chiropractor | 404 N Galena Ave, Dixon, IL 61021-2115 | 2006-06-28 |
| 1134155716 | L. Johnson Chiropractic | Chiropractor | 404 N Galena Ave, Dixon, IL 61021-2115 | 2006-06-24 |
| 1265477566 | Forman Clinic of Chiropractic Rehabilitation | Chiropractor | 404 N Galena Ave, Dixon, IL 61021-2115 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| Taxonomy Code | 231HA2400X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| Specialization | Assistive Technology Practitioner |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497315642 | Peter Frank Mayer | Audiologist | 12545 Farm Hill Dr Ste 200, Huntley, IL 60142-7908 | 2019-06-19 |
| 1003318395 | Glasenhardt Av Inc. | Audiologist | 6040 N Rockwell St Apt 1f, Chicago, IL 60659-4007 | 2018-03-02 |
| 1871847129 | Hearing Associates, Inc | Audiologist | 35 Tower Ct Ste A, Gurnee, IL 60031-5712 | 2012-11-07 |
| 1598914426 | Barbara Richard Murphy | Audiologist | 2620 N Chapel Hill Dr, Arlington Heights, IL 60004-2582 | 2008-09-16 |
| 1396089975 | Northwestern University Audiology Clinic | Audiologist | 2240 Campus Dr, Evanston, IL 60208-3550 | 2012-11-20 |
| 1235392614 | Karen R Glay | Audiologist | 5063 Shoreline Rd, Lake Barrington, IL 60010-1700 | 2008-07-07 |
| 1548442049 | Amanda Diederich | Audiologist | 2201 Glenwood Ave, Joliet, IL 60435-5574 | 2007-11-27 |
| 1104943331 | Janet L. Depalma | Audiologist | 435 N Mulford Rd, Suite #10a, Rockford, IL 61107-5189 | 2007-03-23 |
Please comment or provide details below to improve the information on MIDWEST AUDIOLOGY INC..
| 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.