Provider Demographics
NPI:1003822107
Name:BROW, KATRINA I (AUD)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:I
Last Name:BROW
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:I
Other - Last Name:BANOWETZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:215 SHUMAN BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8458
Mailing Address - Country:US
Mailing Address - Phone:331-229-8316
Mailing Address - Fax:978-313-6824
Practice Address - Street 1:111 N WABASH AVE
Practice Address - Street 2:SUITE 1618
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1903
Practice Address - Country:US
Practice Address - Phone:312-251-0100
Practice Address - Fax:312-251-0123
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3412231H00000X
IL147.001323231HA2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400001903Medicare PIN