Individual provider Active NPI

Dora Leigh Klink, AUD

  • Audiologist
  • Oak Park, IL
National Provider Identifier
1255058376
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001926 Issued in IL
Practice address
6905 North Ave
Oak Park, IL 60302-1041
Phone
(708) 445-7171
Fax
(708) 445-2616
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001926 IL Primary

Addresses

Primary practice location

6905 North Ave
Oak Park, IL 60302-1041

Mailing address

313 Elgin Ave Apt 201
Forest Park, IL 60130-1654
Phone (731) 363-9253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228001142 IL Practitioner - Qualified Audiologist 8527588987 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147001926ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Consulting Audiology Associates, LLC CurrentSince Jan 1, 2025 Accepting new patients
Consulting Audiological Associates Audiologist PastSince Oct 23, 2022 Accepting new patients

Locations

6905 North Ave
Ste 3
Oak Park, IL 60302
Phone (708) 445-7171

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.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1255058376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 ELGIN AVE APT 201",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301654",
            "telephone_number": "731-363-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021041",
            "telephone_number": "708-445-7171",
            "fax_number": "708-445-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINK",
        "first_name": "DORA",
        "middle_name": "LEIGH",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.