| North Side Audiology Group, Inc. | |
|
4200 W. Peterson Ave., Suite 100, Chicago, IL 60646-6052 | |
| (773) 777-3277 | |
| (773) 777-2878 |
| Full Name | North Side Audiology Group, Inc. |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 4200 W. Peterson Ave., Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053442491 | NPI | - | NPPES |
| 333608331001 | Medicaid | IL | |
| 265496573001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 147000241 (Illinois) | Primary |
| 231H00000X | Audiologist | 147000271 (Illinois) | Secondary |
| Provider Name | Daria Popowych |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679610596 PECOS PAC ID: 9436172392 Enrollment ID: I20060110000033 |
| Provider Name | Debra B Garber |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477768075 PECOS PAC ID: 5092814426 Enrollment ID: I20070626000028 |
| Provider Name | Danielle Keller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366748329 PECOS PAC ID: 2860679180 Enrollment ID: I20110613000862 |
| Mailing Address | Practice Location Address |
|---|---|
| North Side Audiology Group, Inc. 4200 W. Peterson Ave., Suite 100, Chicago, IL 60646-6052 Ph: (773) 777-3277 | North Side Audiology Group, Inc. 4200 W. Peterson Ave., Suite 100, Chicago, IL 60646-6052 Ph: (773) 777-3277 |
Dr. Michael Santucci, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 660 N Milwaukee Ave, Chicago, IL 60642 Phone: 312-432-1714 | |
Glasenhardt Av, Inc. Audiologist Medicare: Medicare Enrolled Practice Location: 5015 N Paulina St Ste 214, Chicago, IL 60640 Phone: 847-769-3948 | |
Dr. Katrina I Brow, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 111 N Wabash Ave, Suite 1618, Chicago, IL 60602 Phone: 312-251-0100 Fax: 312-251-0123 | |
Dr. Audrey Kay Cameron, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 7435 W Talcott Ave, Chicago, IL 60631 Phone: 773-792-5258 Fax: 773-792-9774 | |
Ms. Amy Kristeen Winston, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1750 W Harrison St, 203 Senn, Chicago, IL 60612 Phone: 312-942-5332 Fax: 312-942-7068 | |
Kristen Marie Cortese, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 312-227-3068 Fax: 312-227-9425 | |
Eric C Seper, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 |