Professional Audiology, Inc.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

14700269 Issued in IL

Legal business name

PROFESSIONAL AUDIOLOGY, INC.

Practice address

800 Austin St Ste 360E
Ste 256 East
Evanston, IL 60202-3454

Phone

(847) 674-8761

Fax

(847) 674-8764

NPI assigned

Apr 15, 2007

Organization subpart

No

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

Authorized official

Name

David Anthony Klodd, PH.D.NPI 1679608822

Title

Director

Phone

(847) 924-2931

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Anthony Klodd, PH.D.

  • Audiologist
  • Evanston, IL
  • NPI 1679608822
  NPD (past) Authorized official

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

{
    "created_epoch": "1176595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1689899874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600760043",
            "telephone_number": "847-674-8761",
            "fax_number": "847-674-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST STE 360E",
            "address_2": "STE 256 EAST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023454",
            "telephone_number": "847-674-8761",
            "fax_number": "847-674-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL AUDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-15",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "KLODD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-924-2931",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IL",
            "license": "14700269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Rohlfing Pryor, PH.D.
• Amber Przybyla, LPC-I

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.