Kelsey Marie Dougherty Wolf, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147.001840 Issued in IL

Practice address

3340 Oak Park Ave Ste 204
Berwyn, IL 60402-4591

Phone

(708) 749-3070

NPI assigned

Aug 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Head and Neck Cosmetic Surgery Associates LLCGroup PAC ID 2264476118, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Head & Neck Cosmetic Surgery Associates LLC

  • Otolaryngology Physician
  • Skokie, IL
  • NPI 1558330811
  Medicare reassignment Care Compare group NPD
• Connect Hearing Inc

  • Hearing Aid Equipment
  • Aurora, IL
  • NPI 1265700942

  Audiologist

  NPD
• Suburban Otolaryngology,S.C.

  • Specialist
  • Berwyn, IL
  • NPI 1821204082
  NPD
• Connect Hearing, Inc.

  • Hearing Aid Equipment
  • Elgin, IL
  • NPI 1760735435

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1174297659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 OAK PARK AVE STE 204",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604024591",
            "telephone_number": "708-749-3070",
            "fax_number": "707-749-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 OAK PARK AVE STE 204",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604024591",
            "telephone_number": "708-749-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "KELSEY",
        "middle_name": "MARIE DOUGHERTY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSE",
            "identifier": "147.001840",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrika R Willis, B.S CMA
• Serena Wineland, SLP
• George Edward Winternheimer, DC
• Adam Wise, MD
• Walter J Wojcik, M.D,,PH.D.
• Wonder Care Home Care LLC (Wonder Care)
• Genevieve Wong, M.D.
• Frank Woo, MD
• Mahader Nigussie Wossene, MD
• Wsa Anesthesia LLC

• Audiologist in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.