Individual provider Active NPI

Kathryn Brierley, M.A., CCC-A

  • Audiologist
  • Woodstock, IL
National Provider Identifier
1790837532
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001198 Issued in IL
Practice address
2441 Lake Shore Dr
Woodstock, IL 60098-6911
Phone
(815) 338-4600
Fax
(815) 338-4611
NPI assigned
Jan 18, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001198 IL Primary

Addresses

Primary practice location

2441 Lake Shore Dr
Woodstock, IL 60098-6911

Mailing address

2441 Lake Shore Dr
Woodstock, IL 60098-6911
Phone (815) 338-4600

Other identifiers 2

IdentifierTypeStateIssuer
05632066OtherILBLUE CROSS BLUE SHIELD
147001198OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090810000280 IL Practitioner - Qualified Audiologist 7517010507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roman J. Dykun, MDGroup PAC ID 7416997036, 6 clinicians

Practice addresses (Care Compare)

4309 W Medical Ctr Dr
Suite B100
McHenry, IL 60050-8438
Phone (815) 363-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
147001198ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Roman J. Dykun, MD CurrentSince Sep 25, 2015 Accepting new patients
Affiliated Ear, Nose and Throat Physicians Past Accepting new patients

Locations

27790 W Highway 22
Ste 11
Barrington, IL 60010
Phone (224) 238-3211

11650 S State Route 47
Huntley, IL 60142
Phone (847) 802-7300

214 Washington St
Ingleside, IL 60041
Phone (815) 477-8900

4309 W Medical Center Dr
Ste B100
McHenry, IL 60050
Phone (815) 363-0400

1065 Lake Ave
Woodstock, IL 60098
Phone (815) 338-4600

2441 Lake Shore Dr
Woodstock, IL 60098
Phone (815) 338-4600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1790837532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 LAKE SHORE DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600986911",
            "telephone_number": "815-338-4600",
            "fax_number": "815-338-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 LAKE SHORE DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600986911",
            "telephone_number": "815-338-4600",
            "fax_number": "815-338-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIERLEY",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05632066",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "147001198",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.