Basic Information
Provider Information
NPI: 1699724211
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OKE
FirstName: KERI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: AU.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 750 N COMMONS DR STE 200
Address2:  
City: AURORA
State: IL
PostalCode: 605047940
CountryCode: US
TelephoneNumber: 6303035380
FaxNumber: 6303035385
Practice Location
Address1: 1530 N RANDALL RD STE 110
Address2:  
City: ELGIN
State: IL
PostalCode: 601237878
CountryCode: US
TelephoneNumber: 8477412818
FaxNumber: 8477418694
Other Information
ProviderEnumerationDate: 05/09/2006
LastUpdateDate: 04/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X147001072ILY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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