NPI 1083626485 · live from the CMS NPI Registry
Lisa Baer
Audiologist-Hearing Aid Fitter in Bloomington, IL. National Provider Identifier 1083626485, active.
NPI record
| NPI | 1083626485 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist-Hearing Aid Fitter 237600000X |
| Practice location | 1404 Eastland Dr Ste 209, Bloomington, IL 61701 |
| Practice phone | 309-662-3277 |
| Enumerated | August 13, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | 147.001116 (IL) |
| Audiologist-Hearing Aid Fitter primary | 237600000X | 147.001116 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.