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NPI Code Detail

MEDICARE: DR. KRISTEN LAUREN RILEY AU.D, CCC-A

MEDICARE: DR. KRISTEN LAUREN RILEY AU.D, CCC-A
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
1231H00000XAudiologist723156WI

General Provider Information

NPI Number : 1922608124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTEN LAUREN RILEY AU.D, CCC-A
Provider Business Mailing Address
First Line : 29624 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1296
Country : US
Telephone Number : 608-756-7100
Fax Number : 608-756-7225
Provider Business Practice Location Address
First Line : 2100 E LAKE COOK RD STE 1000
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-1999
Country : US
Telephone Number : 224-632-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2020
Last Update Date : 06/19/2026

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Directions to “ DR. KRISTEN LAUREN RILEY AU.D, CCC-A” Practice Location

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