Provider Demographics
NPI:1902555956
Name:BRIX AUDIOLOGY LLC
Entity Type:Organization
Organization Name:BRIX AUDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIX
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:847-406-7588
Mailing Address - Street 1:PO BOX 1076
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:IL
Mailing Address - Zip Code:61010-1076
Mailing Address - Country:US
Mailing Address - Phone:847-406-7588
Mailing Address - Fax:
Practice Address - Street 1:815 N LARKIN AVE STE 100
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-3449
Practice Address - Country:US
Practice Address - Phone:815-744-5661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech