NPIMap

Organization Active NPI

Northwestern University Audiology Clinic

  • Audiologist
  • Evanston, IL
National Provider Identifier
1396089975
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
NORTHWESTERN UNIVERSITY AUDIOLOGY CLINIC
Practice address
2240 Campus Dr
Evanston, IL 60208-3550
Phone
(847) 491-3165
Fax
(847) 467-0410
NPI assigned
Nov 20, 2012
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Prof. Sumitrajit Dhar, PHD
Title
Associate Chair
Phone
(847) 491-2470

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary
Assistive Technology Practitioner Audiologist 231HA2400X NU
Assistive Technology Supplier Audiologist 231HA2500X NU
Speech/Language/Hearing Specialist/Technologist 235500000X NU
Audiology Assistant 2355A2700X NU
Audiologist-Hearing Aid Fitter 237600000X NU
Hearing Instrument Specialist 237700000X NU

Addresses

Primary practice location

2240 Campus Dr
Evanston, IL 60208-3550

Mailing address

2240 Campus Dr
Evanston, IL 60208-3550
Phone (847) 491-3165

National Provider Directory

National Provider Directory
Tax ID family
Northwestern Univ Pro O R7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1396089975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 CAMPUS DR",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602083550",
            "telephone_number": "847-491-3165",
            "fax_number": "847-467-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 CAMPUS DR",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602083550",
            "telephone_number": "847-491-3165",
            "fax_number": "847-467-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN UNIVERSITY AUDIOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "DHAR",
        "authorized_official_first_name": "SUMITRAJIT",
        "authorized_official_title_or_position": "ASSOCIATE CHAIR",
        "authorized_official_telephone_number": "847-491-2470",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.