Provider Demographics
NPI:1275057424
Name:CHERVINKO, BRYNDAL NICOLE (AUD)
Entity Type:Individual
Prefix:MRS
First Name:BRYNDAL
Middle Name:NICOLE
Last Name:CHERVINKO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:BRYNDAL
Other - Middle Name:NICOLE
Other - Last Name:HICKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:908 NORTH ELM STREET
Mailing Address - Street 2:SUITE 306
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521
Mailing Address - Country:US
Mailing Address - Phone:630-323-5214
Mailing Address - Fax:630-323-5297
Practice Address - Street 1:908 NORTH ELM STREET
Practice Address - Street 2:SUITE 306
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521
Practice Address - Country:US
Practice Address - Phone:630-323-5214
Practice Address - Fax:630-323-5297
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001625237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter