Kelsey Marie Dougherty Wolf, AUD
NPI 1174297659ActiveIndividual· Audiologist· Berwyn, IL
Audiologist (AUD) with Head and Neck Cosmetic Surgery Associates LLC, practicing in Berwyn, Illinois. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1174297659 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | No |
| NPI issued | Aug 6, 2021 |
| Last updated in NPPES | Mar 10, 2026 |
| Certified by provider | Mar 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 147.001840 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (IL) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Head and Neck Cosmetic Surgery Associates LLCBerwyn, IL · 23 clinicians
Other Audiologist providers in Berwyn
- 1124113964
- 1780348045