Individual
KELSEY MARIE DOUGHERTY WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3340 OAK PARK AVE STE 204, BERWYN, IL 60402-4591
(708) 749-3070
Mailing address
3340 OAK PARK AVE STE 204, BERWYN, IL 60402-4591
(708) 749-3070
(707) 749-3410
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001840
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147.001840
ILLINOIS STATE LICENSE
IL
Enumeration date
08/06/2021
Last updated
03/10/2026
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