Michelle Anne Ashworth, M ED CCC A
Individual provider Active NPI Audiologist · Villa Park, IL
NPI 1922014570 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922014570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- Practice address
- 528 E Madison
Villa Park, IL 60181-3070 - Phone
- (630) 941-1305
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147000003 | IL | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | IL | Yes |
Addresses
Primary practice location
528 E Madison
Villa Park, IL 60181-3070
Mailing address
528 E Madison
Villa Park, IL 60181-3070
Phone (630) 941-1305
Other providers in Villa Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.