Caryn Alison Kedzierski, M.A., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147-000396 Issued in IL

Practice address

1880 Winchester Road
Suite 103
Libertyville, IL 60048-3940

Phone

(847) 816-1116

Fax

(847) 438-2633

NPI assigned

Jan 5, 2007

Last updated

Jun 7, 2018By the provider in NPPES

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, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake County Head and Neck Specialists S.C.Group PAC ID 3476640459, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake County Head and Neck Specialists S.C.

  • Otolaryngology Physician
  • Gurnee, IL
  • NPI 1851432157
  Medicare reassignment Care Compare group NPD
• Caryn Kedzierski

  dba Best Hearing of LIbertyville

  • Audiologist
  • Libertyville, IL
  • NPI 1679814214
  NPD (past) Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1538216007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHERRY HILL CR",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600479220",
            "telephone_number": "847-438-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 WINCHESTER ROAD",
            "address_2": "SUITE 103",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483940",
            "telephone_number": "847-816-1116",
            "fax_number": "847-438-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDZIERSKI",
        "first_name": "CARYN",
        "middle_name": "ALISON",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Robb Counseling, PLLC
• Anna Beth Katz, M.D.
• Carl Katz, D.D.S.
• Colleen Kay
• Shahab Kazi, DO
• Catherine Keefe
• Allison Keenan
• Brian Robert Kelchen, D.C.
• Jordan Lee Kellgren, M.S. CCC-SLP
• Kelly Behrends, PSYD, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.