Active NPI
Kristine Kelch
- Hearing Instrument Specialist
- Lombard, IL
National Provider Identifier
1164683124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3556
- Practice address
- 412 E Roosevelt Rd
Lombard, IL 60148-4630 - Phone
- (630) 833-4327
- Fax
- (630) 833-4328
- NPI assigned
- Jun 23, 2008
- Last updated
- Apr 21, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146008442 | IL | |
| Hearing Instrument Specialist | 237700000X | 3556 | IL | Primary |
Addresses
Primary practice location
412 E Roosevelt Rd
Lombard, IL 60148-4630
Mailing address
412 E Roosevelt Rd
Lombard, IL 60148-4630
Phone (630) 833-4327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146008442 | IL | MD | Speech-Language Pathologist |
| 3556 | IL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients |
Locations
201 E Ogden Ave
Ste 126
Hinsdale, IL 60521
Phone (630) 325-6133
412 E Roosevelt Rd
Lombard, IL 60148
Phone (630) 352-3351
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1164683124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 E ROOSEVELT RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484630",
"telephone_number": "630-833-4327",
"fax_number": "630-833-4328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 E ROOSEVELT RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484630",
"telephone_number": "630-833-4327",
"fax_number": "630-833-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELCH",
"first_name": "KRISTINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146008442",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "3556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.