| Organization Name: | HEARTLAND BALANCE AND HEARING CENTER SC |
| NPI Number: | 1538353974 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIRK ALEX PRICE (PRESIDENT) |
| Mailing Address: | 302 E Deyoung St Ste 1 Marion |
| State: | IL US |
| Postal Code: | 629592915 |
| Phone Number: | 6188415315 |
| Fax Number: | 6189856904 |
| NPI Enumeration Date: | 08/29/2007 |
| NPI Last Update Date: | 07/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |