Active NPI
Mary Colleen Conroy, AU.D.
- Audiologist
- Warrenville, IL
National Provider Identifier
1467520874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147001062
- Practice address
- 27475 Ferry Road
#109
Warrenville, IL 60555-3808 - Phone
- (630) 717-2751
- Fax
- (866) 961-3161
- NPI assigned
- Dec 1, 2006
- 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 | 147001062 | IL | Primary |
Addresses
Primary practice location
27475 Ferry Road
#109
Warrenville, IL 60555-3808
Mailing address
9071 South 1300 West
Suite 100
West Jordan, UT 84088
Phone (801) 938-1117
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 |
|---|---|---|---|
| 147001062 | IL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1467520874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9071 SOUTH 1300 WEST",
"address_2": "SUITE 100",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "84088",
"telephone_number": "801-938-1117",
"fax_number": "801-938-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27475 FERRY ROAD",
"address_2": "#109",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553808",
"telephone_number": "630-717-2751",
"fax_number": "866-961-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "MARY",
"middle_name": "COLLEEN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147001062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.