| Northwest Professional Hearing Centers, Inc. | |
|
6555 Willow Springs Rd, Suite 11, La Grange Highlands, IL 60525-4591 | |
| (708) 579-9458 | |
| (708) 579-9561 |
| Full Name | Northwest Professional Hearing Centers, Inc. |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 6555 Willow Springs Rd, La Grange Highlands, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689879835 | NPI | - | NPPES |
| 01633818 | Other | IL | BLUECROSS BLUESHIELD |
| 346563304001 | Medicaid | IL | |
| 1912037839 | Other | IL | PROVIDER JILL MICHALAK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 2830 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Professional Hearing Centers, Inc. 6555 Willow Springs Rd, Suite 11, La Grange Highlands, IL 60525-4591 Ph: (708) 579-9458 | Northwest Professional Hearing Centers, Inc. 6555 Willow Springs Rd, Suite 11, La Grange Highlands, IL 60525-4591 Ph: (708) 579-9458 |
Mrs. Jill Rae Michalak, BC-HID Audiologist Medicare: Not Enrolled in Medicare Practice Location: 6555 Willow Springs Rd, Suite 11, La Grange Highlands, IL 60525 Phone: 708-579-9458 Fax: 708-579-9561 |