Provider Demographics
NPI:1053975201
Name:HEARING DOCTORS OF ILLINOIS, INC.
Entity type:Organization
Organization Name:HEARING DOCTORS OF ILLINOIS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:RHODES DIMMICK
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:515-964-1134
Mailing Address - Street 1:105 N 36TH ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-3704
Mailing Address - Country:US
Mailing Address - Phone:217-221-8550
Mailing Address - Fax:217-262-9857
Practice Address - Street 1:105 N 36TH ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-3704
Practice Address - Country:US
Practice Address - Phone:217-221-8550
Practice Address - Fax:217-292-6564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-23
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1164959862OtherNPI
IL1124346663OtherNPI
IL1700516226OtherNPI
IL1811258668OtherNPI