Healthcare Provider Details

I. General information

NPI: 1497693717
Provider Name (Legal Business Name): RILEY NINA DURAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 OAKBROOK CTR STE 709
OAK BROOK IL
60523-4752
US

IV. Provider business mailing address

5734 WALNUT AVE APT 2C
DOWNERS GROVE IL
60516-1098
US

V. Phone/Fax

Practice location:
  • Phone: 630-571-7111
  • Fax:
Mailing address:
  • Phone: 630-240-7699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147.002078
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: