NORTHWESTERN UNIVERSITY AUDIOLOGY CLINIC (NPI# 1396089975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396089975 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN UNIVERSITY AUDIOLOGY CLINIC |
| Practice Address |
2240 Campus Dr Evanston IL 60208-3550 |
| Practice Telephone | 8474913165 |
| Practice Fax Number | 8474670410 |
| Mailing Telephone | 8474913165 |
| Mailing Fax Number | 8474670410 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |
| Authorized Official Name | PROF. SUMITRAJIT DHAR (ASSOCIATE CHAIR) |
| Authorized Official Telephone | 8474912470 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
Speech, Language and Hearing Service Providers | ||
| N | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
Speech, Language and Hearing Service Providers | ||
| N | 235500000X | Specialist/Technologist | Speech, Language and Hearing Service Providers | ||
| N | 2355A2700X |
Specialist/Technologist Specialization: Audiology Assistant |
Speech, Language and Hearing Service Providers | ||
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| N | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers | ||
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| Street Address |
2240 CAMPUS DR |
| City | EVANSTON |
| State | IL |
| Zip Code | 60208-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982726899 | Tracy Hagan Winn | Audiologist | 2240 Campus Dr, Evanston, IL 60208-0895 | 2007-04-04 |
| 1942840301 | Liane Thornhill | Speech-Language Pathologist | 2240 Campus Dr, Evanston, IL 60201-2952 | 2020-01-13 |
| 1376924415 | Katherine Elise Meyer | Speech-Language Pathologist | 2240 Campus Dr, Frances Searle Building, Evanston, IL 60201-2952 | 2015-06-15 |
| 1457762031 | Northwestern University | Speech-Language Pathologist | 2240 Campus Dr, Frances Searle Bldg, Evanston, IL 60208-0895 | 2014-05-16 |
| 1508277641 | Belma Hadziselimovic | Speech-Language Pathologist | 2240 Campus Dr, Evanston, IL 60208-3570 | 2014-05-12 |
| 1568897130 | Paula Regan Mcguire | Speech-Language Pathologist | 2240 Campus Dr, Evanston, IL 60208-3570 | 2013-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437128089 | Courtney Jones | Specialist/Technologist | 1501 Central St., Evanston, IL 60208 | 2006-03-16 |
| 1467456004 | Bridget A Hannum | Nurse Practitioner | Northwestern University 633 Emerson, Evanston, IL 60208 | 2005-06-10 |
| 1891947727 | Catherine Anne Fabian | Audiologist | 2315 Campus Dr, Evanston, IL 60208 | 2008-10-22 |
| 1417487471 | Jack Scott | Audiologist | 2315 Campus Drive Nucasll, Evanston, IL 60208-0001 | 2017-06-13 |
| 1588038699 | Robin Lynn Dodds | Developmental Therapist | Center for Audiology Speech Language And, Northwestern University 2315 Campus Drive, Evanston, IL 60208-0001 | 2015-12-01 |
| 1831565936 | Natalie Morales | Specialist/Technologist | 2255 Campus Drive, Evanston, IL 60208-0001 | 2015-08-12 |
| 1750612115 | Northwestern University Intercollegiate Sports Medicine | Clinic/Center | 2703 Ashland Ave, Northwestern University Sports Medicine, Evanston, IL 60208-0001 | 2010-01-26 |
| 1609927417 | Kimberly A Seipel-carrow | Pediatrics | Northwestern University Health Services, 633 Emerson, Evanston, IL 60208-0001 | 2007-01-16 |
| 1114551793 | Peter Ritz | 2255 Campus Drive, Evanston, IL 60208-0001 | 2020-02-24 | |
| 1912395336 | Susan Taber Mulhern | Speech-Language Pathologist | 2315 Campus Dr, Evanston, IL 60208-0001 | 2015-01-07 |
| Find all providers in zip 60208 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417487471 | Jack Scott | Audiologist | 2315 Campus Drive Nucasll, Evanston, IL 60208-0001 | 2017-06-13 |
| 1326212457 | Lowery Ann Mayo | Audiologist | 1811 Benson Ave, Evanston, IL 60201-3750 | 2008-04-18 |
| 1598984007 | Ann M Reget | Audiologist | 800 Austin St Ste 157, Evanston, IL 60202-3452 | 2007-04-24 |
| 1689899874 | Professional Audiology, Inc. | Audiologist | 800 Austin St Ste 360e, Ste 256 East, Evanston, IL 60202-3454 | 2007-04-15 |
| 1982726899 | Tracy Hagan Winn | Audiologist | 2240 Campus Dr, Evanston, IL 60208-0895 | 2007-04-04 |
| 1679608822 | David Anthony Klodd | Audiologist | 800 Austin Avenue, Ste 256 East, Evanston, IL 60202-3454 | 2007-02-21 |
| 1932501632 | Mayo Audiology, LLC | Audiologist | 636 Church St, 307, Evanston, IL 60201-4508 | 2014-09-24 |
| 1669607214 | Advanced Hearing and Balance Center, LLC | Audiologist | 636 Church St, Suite 307, Evanston, IL 60201-4508 | 2009-05-27 |
| 1891947727 | Catherine Anne Fabian | Audiologist | 2315 Campus Dr, Evanston, IL 60208 | 2008-10-22 |
| 1881850824 | Maria P. Secaras | Audiologist | 1000 Central St, Suite 610, Evanston, IL 60201-1777 | 2008-07-30 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.