Kathleen Theresa Dunckley, PH.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147.001266 Issued in IL

Practice address

1653 W Congress Pkwy
Dept of Communication Disorders & Sciences
Chicago, IL 60612-3833

Phone

(312) 942-4921

Fax

(312) 942-7068

NPI assigned

Sep 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Dunckley Audiology

  • Hearing and Speech Clinic/Center
  • Evanston, IL
  • NPI 1336874056

  Audiologist

  Medicare reassignment NPD Authorized official
• Rush University Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542
  Medicare reassignment NPD

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1407004062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 N SHERIDAN RD",
            "address_2": "APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262049",
            "telephone_number": "872-230-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "DEPT OF COMMUNICATION DISORDERS & SCIENCES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-4921",
            "fax_number": "312-942-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCKLEY",
        "first_name": "KATHLEEN",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Courtney Duncan
• Robert Duncan, APN
• Sarah Duncan, LCSW
• Tabitha Duncan
• Conrad Orrmal Duncker
• Alison Margaret Duncombe, PT, OCS, FAAOMPT
• Cabbar Dundar, MD
• Nicole Elizabeth Dundas
• Julie Dunderdale, M.D.
• George Dunea, MD

• Audiologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.