Provider Demographics
NPI:1164677068
Name:KERAI, PINAL (AUD)
Entity type:Individual
Prefix:DR
First Name:PINAL
Middle Name:
Last Name:KERAI
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 1:465 SHANNON PKWY
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-7877
Mailing Address - Country:US
Mailing Address - Phone:269-267-7181
Mailing Address - Fax:
Practice Address - Street 1:2250 POINT BLVD STE 335
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-7824
Practice Address - Country:US
Practice Address - Phone:847-301-4044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147001371231H00000X
IL1147001371237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0C97625123Medicare PIN