Active NPI
Diane Marie Schecklong, M.A.
- Audiologist
- Dekalb, IL
National Provider Identifier
1164512950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 1 Lucinda Ave
Niu Speech-Language Hearing Clinic
Dekalb, IL 60115-2899 - Phone
- (815) 753-1481
- Fax
- (815) 753-1664
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | IL | Primary |
Addresses
Primary practice location
1 Lucinda Ave
Niu Speech-Language Hearing Clinic
Dekalb, IL 60115-2899
Mailing address
3014 Fairfield LN
Aurora, IL 60504-3291
Phone (630) 236-6971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090414000727 | IL | Practitioner - Qualified Audiologist | 3870640501 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Illinois University
Practice addresses (Care Compare)
3100 Sycamore Rd
Dekalb, IL 60115-9621
Phone (815) 753-1481
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Illinois University | Current | Accepting new patients | |
| Northern Illinois University | Audiologist | Past | Accepting new patients |
Locations
3100 Sycamore Rd
DeKalb, IL 60115
Phone (815) 752-2675
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Dekalb, IL
- NPI 1407916836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164512950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3014 FAIRFIELD LN",
"city": "AURORA",
"state": "IL",
"postal_code": "605043291",
"telephone_number": "630-236-6971",
"fax_number": "630-236-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LUCINDA AVE",
"address_2": "NIU SPEECH-LANGUAGE HEARING CLINIC",
"city": "DEKALB",
"state": "IL",
"postal_code": "601152899",
"telephone_number": "815-753-1481",
"fax_number": "815-753-1664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHECKLONG",
"first_name": "DIANE",
"middle_name": "MARIE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.