Kristen M Young, AU.D.
Individual provider Active NPI Audiologist · Woodstock, IL
NPI 1003969718 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003969718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- Practice address
- 2441 Lake Shore Dr
Woodstock, IL 60098-6911 - Phone
- (815) 338-4600
- Fax
- (815) 338-4611
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Roman J. Dykun, MD
Practice addresses (Care Compare)
4309 W Medical Ctr Dr
Suite B100
McHenry, IL 60050-8438
Phone (815) 363-0400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090618000153 | IL | Practitioner - Qualified Audiologist | 8325198062 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147001066 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roman J. Dykun, MD | Current |
Accepting new patients | |
| Affiliated Ear, Nose and Throat Physicians | Past | Accepting new patients |
Locations
11650 S State Route 47
Huntley, IL 60142
Phone (847) 802-7300
214 Washington St
Ingleside, IL 60041
Phone (815) 477-8900
4309 W Medical Center Dr
Ste B100
McHenry, IL 60050
Phone (815) 363-0400
1065 Lake Ave
Woodstock, IL 60098
Phone (815) 338-4600
2441 Lake Shore Dr
Woodstock, IL 60098
Phone (815) 338-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | IL | Yes |
Addresses
Primary practice location
2441 Lake Shore Dr
Woodstock, IL 60098-6911
Mailing address
2441 Lake Shore Dr
Woodstock, IL 60098-6911
Phone (815) 338-4600
Other providers in Woodstock, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.