Wellformed AI

NPI 1073656757 · live from the CMS NPI Registry

Megan Lynch Bradshaw, Au.D. CCC-A

Audiologist, Assistive Technology Supplier in Chicago, IL. National Provider Identifier 1073656757, active.

NPI record

NPI1073656757 Type 1 · individual
StatusActive
Primary specialtyAudiologist, Assistive Technology Supplier 231HA2500X
Practice location7435 W Talcott Ave, Resurrection Medical Center Audiology Dept., Chicago, IL 60631
Practice phone773-774-8000
Mailing address927 Stonehenge Ct, Naperville, IL 60563
EnumeratedFebruary 14, 2007
Last updatedSeptember 11, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist231H00000X147-000595 (IL)
Audiologist, Assistive Technology Practitioner231HA2400X147-000595 (IL)
Audiologist, Assistive Technology Supplier primary231HA2500X147-000595 (IL)
Audiologist-Hearing Aid Fitter237600000X147-000595 (IL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.