Active NPI
Sade Chantelle Crowley, AU.D
- Audiologist
- Buffalo Grove, IL
National Provider Identifier
1417383530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.01876
- Practice address
- 2100 E Lake Cook Rd
Suite 1100
Buffalo Grove, IL 60089-1999 - Phone
- (800) 317-0711
- Fax
- (800) 434-7113
- NPI assigned
- Sep 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A.01876 | OH | Primary |
Addresses
Primary practice location
2100 E Lake Cook Rd
Suite 1100
Buffalo Grove, IL 60089-1999
Mailing address
1201 Mercer Ave
Akron, OH 44307-1303
Phone (812) 360-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7953 | SC | MD | Massage Therapist |
| A.01876 | OH | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1417383530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 MERCER AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443071303",
"telephone_number": "812-360-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 E LAKE COOK RD",
"address_2": "SUITE 1100",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891999",
"telephone_number": "800-317-0711",
"fax_number": "800-434-7113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWLEY",
"first_name": "SADE",
"middle_name": "CHANTELLE",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-20",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.01876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.