Individual provider Active NPI

Jennifer Hwang, AU.D.

  • Audiologist
  • Naperville, IL
National Provider Identifier
1265058135
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.001779 Issued in IL
Practice address
636 Raymond Dr Ste 204
Naperville, IL 60563-9791
Phone
(331) 732-4700
Fax
(331) 732-4710
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 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 147.001779 IL Primary

Addresses

Primary practice location

636 Raymond Dr Ste 204
Naperville, IL 60563-9791

Mailing address

25 N Winfield Rd Ste 519
Winfield, IL 60190-1379
Phone (630) 938-6161

Other practice location 1

750 Fletcher Dr Ste 100
Elgin, IL 60123-4703
Phone (847) 741-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713002192 IL Practitioner - Qualified Audiologist 7719300508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.001779ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Ear, Nose and Throat, Assoc., S.C. CurrentSince Jun 16, 2020 Accepting new patients

Locations

2971 W Algonquin Rd
Ste 102
Algonquin, IL 60102
Phone (847) 854-0005

750 Fletcher Dr
Ste 100
Elgin, IL 60123
Phone (847) 741-3677

2210 Dean St
Ste L
St Charles, IL 60175
Phone (630) 377-5000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1265058135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD STE 519",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-938-6161",
            "fax_number": "630-938-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 RAYMOND DR STE 204",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639791",
            "telephone_number": "331-732-4700",
            "fax_number": "331-732-4710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Fletcher Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601234703",
            "country_code": "US",
            "telephone_number": "847-741-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HWANG",
        "first_name": "JENNIFER",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.