Formerly Audiological Laboratory – Audiologist, NPI 1003010364

Formerly Audiological Laboratory is a healthcare provider. based in Park ridge, Illinois. specializing in Audiologist. The organization holds a License No. 147000108 (IL). The NPI Number for Formerly Audiological Laboratory is 1003010364

Main info

Organization
Name
Formerly Audiological Laboratory
NPI
1003010364
Phone
(847) 674-5585
Address
2604 DEMPSTER ST STE 501
Authorized Official
MERLE NATHAN SR. DIRECTOR OF AUDIOLOGY MA, CCCA
Enumeration Date
12 June 2007
Last Update Date
14 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness90
Years active:18State licenses:1Digital endpoints

Provider Addresses for Formerly Audiological Laboratory

  • 2604 DEMPSTER ST STE 501

    PARK RIDGE, IL 600688429

    Phone: (847) 674-5585

    Type: Mailing

  • 8780, Golf Road, Niles, Cook County, Illinois, 60714, United States

    SUITE 200

    NILES, IL 60714

    Phone: (847) 674-5585

    Fax: (847) 824-1712

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60068)

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Reviews

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Frequently asked questions

What is the registry number for Formerly Audiological Laboratory?
The registry entry for Formerly Audiological Laboratory shows NPI 1003010364.
Should I treat Formerly Audiological Laboratory as an active provider?
Patients and plans typically see Formerly Audiological Laboratory as active in the national extract.
What services align with Formerly Audiological Laboratory's listing?
Formerly Audiological Laboratory's public classification highlights Audiologist. Clinical services aligned with this taxonomy classification.
Is Formerly Audiological Laboratory tied to Park Ridge, Illinois?
If you are local to Park Ridge, Illinois, Formerly Audiological Laboratory may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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