Provider Demographics
NPI:1336408889
Name:DONAHUE, CARA M (AUD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:M
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 E CHICAGO AVE
Mailing Address - Street 2:#148
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2991
Mailing Address - Country:US
Mailing Address - Phone:312-227-3061
Mailing Address - Fax:312-227-9656
Practice Address - Street 1:225 E CHICAGO AVE
Practice Address - Street 2:#148
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-3061
Practice Address - Fax:312-227-9656
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147001493231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist