Dunckley Audiology

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

DUNCKLEY AUDIOLOGY

Practice address

1811 Benson Ave
Evanston, IL 60201-3750

Phone

(847) 453-3643

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Authorized official

Name

Kathleen Theresa Dunckley, PH.D.NPI 1407004062

Title

Manager

Phone

(872) 230-1158

Specialties & licenses 1

Addresses

Other names 1

• Evanston Audiology Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Theresa Dunckley, PH.D.

  • Audiologist
  • Chicago, IL
  • NPI 1407004062
  Medicare reassignment NPD Authorized official
• Brian Urban, AU.D.

  • Audiologist
  • Evanston, IL
  • NPI 1811019110
  NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1336874056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 BENSON AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013750",
            "telephone_number": "847-453-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BENSON AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013750",
            "telephone_number": "847-453-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCKLEY AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "DUNCKLEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "872-230-1158",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evanston Audiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evanston Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imani Duhe
• David Dulce
• Andra Duncan, MT-BC
• Andria La'Shae Duncan
• Jason Duncan
• Mary Dungy-Akenji, LCSW
• Kelly Dunn
• Mikala M Dunn
• Henry Dunnenberger IV, PHARMD
• Laura Suzanne Duprey, LPC

• Hearing and Speech Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Hearing and Speech Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.