Individual provider Active NPI

Laura Elizabeth Boe-Knoll, AU.D.

  • Audiologist
  • Buffalo Grove, IL
National Provider Identifier
1780729079
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
174-001399 Issued in IL
Practice address
462 W. Haf Day Road
Buffalo Grove, IL 60089-6555
Phone
(847) 276-2735
Fax
(847) 276-2733
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X 147-001399 IL
Assistive Technology Supplier Audiologist 231HA2500X 147001399 IL
Audiologist-Hearing Aid Fitter 237600000X 147-001399 IL
Audiologist 231H00000X 174-001399 IL Primary

Addresses

Primary practice location

462 W. Haf Day Road
Buffalo Grove, IL 60089-6555

Mailing address

462 W. Haf Day Road
Buffalo Grove, IL 60089-6555
Phone (847) 276-2735

Other practice location 1

18160 W Gages Lake Rd
Gages Lake, IL 60030-1819
Phone (847) 986-2435

Other names 1

  • Laura Elizabeth Boe Former name

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

LicenseStateTypeSpecialty
174-001399ILMDAudiologist
147001399ILMDAssistive Technology Supplier Audiologist
147-001399ILMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Iron Audiology, Inc. Audiologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1780729079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 W. HAF DAY ROAD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896555",
            "telephone_number": "847-276-2735",
            "fax_number": "847-276-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 W. HAF DAY ROAD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896555",
            "telephone_number": "847-276-2735",
            "fax_number": "847-276-2733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18160 W Gages Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Gages Lake",
            "state": "IL",
            "postal_code": "600301819",
            "country_code": "US",
            "telephone_number": "847-986-2435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOE-KNOLL",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "IL",
            "license": "147-001399",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "IL",
            "license": "147001399",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147-001399",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "174-001399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BOE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 7, 2020; 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.