Shannon Lee Willingham, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147001716 Issued in IL

Practice address

101 Burr Ridge Pkwy Ste 150
Burr Ridge, IL 60527-0877

Phone

(630) 908-5159

Fax

(630) 908-5159

NPI assigned

Feb 25, 2019

Last updated

Jun 27, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1184181323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7439 W 56TH ST",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011381",
            "telephone_number": "708-821-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BURR RIDGE PKWY STE 150",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270877",
            "telephone_number": "630-908-5159",
            "fax_number": "630-908-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLINGHAM",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George William Weyer, M.D.
• Chad T Whelan, MD
• Rosemary White
• Bria Williams-Roby, LPC
• Lauren Williams, PA
• Raoul L Wolf, MD
• Michael C Woo, MD
• Catherine Woodruff, PA
• Charlie Wray, D.O
• Theresa L Wycklendt, APNP

• Audiologist in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.