Healthcare Provider Details

I. General information

NPI: 1447291794
Provider Name (Legal Business Name): BARBARA H LEWALLEN AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA A LEWALLEN

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S. YORK RD
ELMHURST IL
60126
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 630-941-2603
  • Fax: 630-758-8494
Mailing address:
  • Phone: 630-758-8530
  • Fax: 763-268-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147000216
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number147000216
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: