Individual provider Active NPI

Cathleen Kovanic, AU.D., CCC-A

  • Audiologist
  • Aurora, IL
National Provider Identifier
1124163845
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147-000008 Issued in IL
Practice address
2040 Ogden Ave Ste 401
Aurora, IL 60504-7208
Phone
(630) 978-6895
Fax
(630) 375-2905
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147-000008 IL Primary

Addresses

Primary practice location

2040 Ogden Ave Ste 401
Aurora, IL 60504-7208

Mailing address

2040 Ogden Ave Ste 401
Aurora, IL 60504-7208
Phone (630) 978-6895

Other names 1

  • Cathleen Ann O'Connor Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000280 IL Practitioner - Qualified Audiologist 0941198675 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Copley Memorial Hospital IncGroup PAC ID 4587656921, 45 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 499-4721

2040 Ogden Ave
Aurora, IL 60504-7205

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147-000008ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush-Copley Medical Group, NFP CurrentSince Sep 1, 2012 Accepting new patients
Copley Memorial Hospital, Inc. CurrentSince May 1, 2024 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Rush University Medical Group CurrentSince Aug 1, 2025 Accepting new patients

Locations

2040 Ogden Ave
Ste 301
Aurora, IL 60504
Phone (312) 942-6100

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2040 Ogden Ave
Ste 401
Aurora, IL 60504
Phone (630) 585-7100

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

1256 Waterford Dr
Ste 170
Aurora, IL 60504
Phone (630) 820-6982

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

4390 State Route 71
Oswego, IL 60543
Phone (630) 551-3338

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1124163845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE STE 401",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047208",
            "telephone_number": "630-978-6895",
            "fax_number": "630-375-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE STE 401",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047208",
            "telephone_number": "630-978-6895",
            "fax_number": "630-375-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVANIC",
        "first_name": "CATHLEEN",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHLEEN",
            "last_name": "O'CONNOR",
            "middle_name": "ANN",
            "credential": "AU.D., CCC-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.