MEDICARE: KAYLEE MARIE BIRLINGMAIR AUD

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
1	231H00000X	Audiologist	147.0020506	IL

General Provider Information

NPI Number	:	1639020795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE MARIE BIRLINGMAIR AUD

Provider Business Mailing Address
First Line	:	1924 W BELLE PLAINE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-1870
Country	:	US
Telephone Number	:	309-706-9678
Fax Number	:

Provider Business Practice Location Address
First Line	:	3730 N OAKLEY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-4813
Country	:	US
Telephone Number	:	309-706-9678
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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