Provider Demographics
NPI:1356836043
Name:PARR, KYLEE ELIZABETH (AUD)
Entity Type:Individual
Prefix:DR
First Name:KYLEE
Middle Name:ELIZABETH
Last Name:PARR
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KYLEE
Other - Middle Name:ELIZABETH
Other - Last Name:MCFARLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:71 WAUKEGAN RD STE 700
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-1614
Mailing Address - Country:US
Mailing Address - Phone:847-504-3300
Mailing Address - Fax:
Practice Address - Street 1:71 WAUKEGAN RD STE 700
Practice Address - Street 2:
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-1614
Practice Address - Country:US
Practice Address - Phone:847-504-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-26
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA087254237600000X
IA087030231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty