Active NPI
Patricia K.B. Chirillo, M.S.
- Audiologist
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 73-156
- Practice address
- 10425 W North Ave
Suite 110
Wauwatosa, WI 53226-2416 - Phone
- (414) 607-1830
- Fax
- (414) 607-0127
- NPI assigned
- Nov 9, 2007
- Last updated
- Sep 21, 2016
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 73-156 | WI | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 73-156 | WI |
Addresses
Primary practice location
10425 W North Ave
Suite 110
Wauwatosa, WI 53226-2416
Mailing address
10425 W North Ave
Suite 110
Wauwatosa, WI 53226-2416
Phone (414) 607-1830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41130300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Wisconsin School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
755 S Milwaukee Ave
Suite 101
Libertyville, IL 60048-3267
Phone (847) 680-7580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73-156 | WI | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Hearing Associates, Inc | Audiologist | Current | Accepting new patients |
| Hearing Associates PC | Audiologist | Past | Accepting new patients |
| University of Wisconsin System Non Payroll | Audiologist | Past | Accepting new patients |
Locations
35 Tower Ct
Ste A
Gurnee, IL 60031
Phone (847) 662-9300
755 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 680-7002
755 S Milwaukee Ave
Ste 101
Libertyville, IL 60048
Phone (847) 570-2860
755 S Milwaukee Ave
Ste 189
Libertyville, IL 60048
Phone (847) 680-7580
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
3811 Spring St
Ste 202
Mount Pleasant, WI 53405
Phone (262) 687-8202
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Organizations & group practices 4
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.
-
- Audiologist
- Gurnee, IL
- NPI 1871847129
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Audiologist
- Wauwatosa, WI
- NPI 1811347958
-
- Audiologist
- Libertyville, IL
- NPI 1619964889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1205016912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10425 W NORTH AVE",
"address_2": "SUITE 110",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262416",
"telephone_number": "414-607-1830",
"fax_number": "414-607-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10425 W NORTH AVE",
"address_2": "SUITE 110",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262416",
"telephone_number": "414-607-1830",
"fax_number": "414-607-0127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIRILLO",
"first_name": "PATRICIA",
"middle_name": "K.B.",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-09",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "73-156",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WI",
"license": "73-156",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41130300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.