Healthcare Provider Details

I. General information

NPI: 1770404139
Provider Name (Legal Business Name): JOSEPHINE KINDER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 OVERLOOK TER
MADISON WI
53705-2254
US

IV. Provider business mailing address

317 BERRY DR
NAPERVILLE IL
60540-5101
US

V. Phone/Fax

Practice location:
  • Phone: 888-478-8321
  • Fax:
Mailing address:
  • Phone: 630-901-0060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147.012365
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: