Healthcare Provider Details

I. General information

NPI: 1255256269
Provider Name (Legal Business Name): RHIANNON HINCKLEY AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 OGDEN AVE
CLARENDON HILLS IL
60514-1026
US

IV. Provider business mailing address

3715 HARMS RD
JOLIET IL
60435-9044
US

V. Phone/Fax

Practice location:
  • Phone: 630-495-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147.012374
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: