| Organization Name: | MIRACLE-EAR, INC. |
| NPI Number: | 1083845697 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBRA GRAN (SENIOR VICE PRESIDENT HUMAN RESOURC) |
| Mailing Address: | 3917 Broadway Mt. Vernon |
| State: | IL US |
| Postal Code: | 62864 |
| Phone Number: | 6182421120 |
| Fax Number: | 6182424171 |
| NPI Enumeration Date: | 07/30/2009 |
| NPI Last Update Date: | 06/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |