Healthcare Provider Details

I. General information

NPI: 1518893080
Provider Name (Legal Business Name): AUDREY MCEUEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MAYFAIR DR
AURORA IL
60504-4097
US

IV. Provider business mailing address

300 MAYFAIR DR
AURORA IL
60504-4097
US

V. Phone/Fax

Practice location:
  • Phone: 336-870-9100
  • Fax:
Mailing address:
  • Phone: 336-870-9100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: