MEDICARE: CAROLYN M AWENDER

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	147000719	IL

General Provider Information

NPI Number	:	1942227905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN M AWENDER

Provider Business Mailing Address
First Line	:	1772 HIGHLAND DR
Second Line	:
City	:	FREEPORT
State	:	IL
Zip	:	61032-4606
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1253 N ALPINE RD
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61107-2201
Country	:	US
Telephone Number	:	815-391-7878
Fax Number	:

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

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	08/18/2016

Similar Medicare Providers

1437232139 — SANJAY PRASAD M.D.
Practice Location Address:

1253 N ALPINE RD
ROCKFORD, IL
61107-2201

Practice Phone: 779-696-9201
Practice Fax: 815-397-9667

1922090646 — JACK PETER KOTLARZ MD
Practice Location Address:

1253 N ALPINE RD
ROCKFORD, IL
61107-2201

Practice Phone: 779-696-9201
Practice Fax: 815-397-9667

1447246392 — KENNETH RICHARD NISSIM M.D.
Practice Location Address:

1253 N ALPINE RD
ROCKFORD, IL
61107-2201

Practice Phone: 779-696-9201
Practice Fax: 815-397-9667

1578536207 — VIOLET ROBERSON DO
Practice Location Address:

1215 N ALPINE RD
ROCKFORD, IL
61107-2201

Practice Phone: 815-391-7800
Practice Fax:

1013946649 — DR. STEVEN J LIDVALL MD
Practice Location Address:

1215 N ALPINE RD
ROCKFORD, IL
61107-2201

Practice Phone: 815-391-7807
Practice Fax:

1568483121 — DR. MELODY LYNNE HARTMAN AUD
Practice Location Address:

1253 N. ALPINE ROAD
ROCKFORD, IL
61107-2201

Practice Phone: 779-696-9201
Practice Fax: 815-397-9667

Directions to “ CAROLYN M AWENDER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.