Individual provider Active NPI

Molly Kathleen Norris Van Eaton, AU.D.

  • Audiologist
  • Skokie, IL
National Provider Identifier
1346771615
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.001614 Issued in IL
Practice address
9669 Kenton Ave Ste 206
Skokie, IL 60076-1226
Phone
(847) 504-3300
Fax
(847) 504-3305
NPI assigned
Mar 27, 2017
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.001614 IL Primary

Addresses

Primary practice location

9669 Kenton Ave Ste 206
Skokie, IL 60076-1226

Mailing address

9669 Kenton Ave Ste 206
Skokie, IL 60076-1226
Phone (847) 504-3300

Other practice location 1

501 Skokie Blvd Ste 211
Northbrook, IL 60062-2802
Phone (847) 504-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181023000234 IL Practitioner - Qualified Audiologist 8729331608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.001614ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Oct 1, 2018 Accepting new patients
Endeavor Health Medical Group CurrentSince Oct 13, 2021 Accepting new patients
Endeavor Health Medical Group CurrentSince Oct 13, 2021 Accepting new patients
Rush University Medical Center CurrentSince Oct 1, 2018 Accepting new patients

Locations

1611 W Harrison St
Ste 530
Chicago, IL 60612
Phone (312) 563-4409

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

501 Skokie Blvd
Northbrook, IL 60062
Phone (847) 504-2300

501 Skokie Blvd
Ste 211
Northbrook, IL 60062
Phone (847) 504-3300

610 S Maple Ave
Ste 3700
Oak Park, IL 60304
Phone (708) 660-6100

9669 Kenton Ave
Ste 206
Skokie, IL 60076
Phone (847) 504-3300

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.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1346771615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE STE 206",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761226",
            "telephone_number": "847-504-3300",
            "fax_number": "847-504-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE STE 206",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761226",
            "telephone_number": "847-504-3300",
            "fax_number": "847-504-3305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Skokie Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600622802",
            "country_code": "US",
            "telephone_number": "847-504-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS VAN EATON",
        "first_name": "MOLLY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.