Basic Information
| Provider Information | |||||||||
| NPI: | 1164963203 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SONIK HEARING CARE SERVICES INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3213 N ROCKWELL ST | ||||||||
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| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606185934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8474529659 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8 S MICHIGAN AVE | ||||||||
| Address2: | SUIT # 2212 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606033357 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3123461136 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2017 | ||||||||
| LastUpdateDate: | 05/11/2017 | ||||||||
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| AuthorizedOfficialLastName: | JAIN | ||||||||
| AuthorizedOfficialFirstName: | LATA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8474529659 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | 147001053 | IL | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
No ID Information.