Active NPI
Genevieve Malcolm
- Audiologist
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147001298
- Practice address
- 1308 Macom Dr Ste 103
Naperville, IL 60564-9256 - Phone
- (630) 848-9665
- Fax
- (630) 904-4373
- NPI assigned
- Mar 17, 2008
- Last updated
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 147001298 | IL | Primary |
Addresses
Primary practice location
1308 Macom Dr Ste 103
Naperville, IL 60564-9256
Mailing address
1308 Macom Dr Ste 103
Naperville, IL 60564-9256
Phone (630) 904-4327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1308 Macom Dr
Suite 103
Naperville, IL 60564-9256
Phone (630) 848-9665
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147001298 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Auditory Processing | Current | Accepting new patients | |
| Hear Audiology LLC | Audiologist | Current | Accepting new patients |
| ENT Specialists, P.C. | Past | Accepting new patients | |
| Affordable Hearing Solutions | Audiologist | Past | Accepting new patients |
| Lester and Rosalie Anixter Center | Audiologist | Past | Accepting new patients |
Locations
1308 Macom Dr
Ste 103
Naperville, IL 60564
Phone (630) 585-0800
1935 Springbrook Square Dr
Ste 109
Naperville, IL 60564
Phone (630) 904-4237
Organizations & group practices 5
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.
-
- Audiologist-Hearing Aid Fitter
- Naperville, IL
- NPI 1437868494
-
- Audiologist
- Naperville, IL
- NPI 1386963569
-
dba Chicago Hearing Society
- Audiologist
- Chicago, IL
- NPI 1528271582
-
- Otolaryngology Physician
- Novi, MI
- NPI 1104996842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1801067061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 MACOM DR STE 103",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605649256",
"telephone_number": "630-904-4327",
"fax_number": "630-904-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 MACOM DR STE 103",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605649256",
"telephone_number": "630-848-9665",
"fax_number": "630-904-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALCOLM",
"first_name": "GENEVIEVE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147001298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.