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NPI Code Detail

MEDICARE: DR. KATHLEEN THERESA DUNCKLEY PH.D.

MEDICARE: DR. KATHLEEN THERESA DUNCKLEY PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist147.001266IL

General Provider Information

NPI Number : 1407004062
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN THERESA DUNCKLEY PH.D.
Provider Business Mailing Address
First Line : 7619 N SHERIDAN RD
Second Line : APT 1
City : CHICAGO
State : IL
Zip : 60626-2049
Country : US
Telephone Number : 872-230-1158
Fax Number :
Provider Business Practice Location Address
First Line : 1653 W CONGRESS PKWY
Second Line : DEPT OF COMMUNICATION DISORDERS & SCIENCES
City : CHICAGO
State : IL
Zip : 60612-3833
Country : US
Telephone Number : 312-942-4921
Fax Number : 312-942-7068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2008
Last Update Date : 07/25/2022

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