Healthcare Provider Details

I. General information

NPI: 1578124103
Provider Name (Legal Business Name): MEGAN CORRIGAN KOLMODIN AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN LYNN CORRIGAN AUD

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 N HIGHLAND AVE
AURORA IL
60506-1404
US

IV. Provider business mailing address

28594 NETWORK PL
CHICAGO IL
60673-1285
US

V. Phone/Fax

Practice location:
  • Phone: 630-264-8560
  • Fax: 630-264-8484
Mailing address:
  • Phone: 847-390-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147001714
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: