MRS. AMANDA DIEDERICH


Address: 2201 Glenwood Ave, Joliet, IL 60435-5574
Phone: 8157251191

MRS. AMANDA DIEDERICH (NPI# 1548442049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548442049
Entity Type Individual
Full Name MRS. AMANDA DIEDERICH
Credential AUDIOLOGIST
Practice Address 2201 Glenwood Ave
Joliet
IL 60435-5574
Practice Telephone 8157251191
Practice Fax Number 8157251248
Mailing Telephone 8157251191
Mailing Fax Number 8157251248
Enumeration Date 2007-11-27
Last Update Date 2012-01-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231HA2400X Audiologist
Specialization: Assistive Technology Practitioner
147001236 IL Speech, Language and Hearing Service Providers

Office Location

Street Address 2201 GLENWOOD AVE
City JOLIET
State IL
Zip Code 60435-5574

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881677714 Scott W Divenere Otolaryngology 2201 Glenwood Ave, Joliet, IL 60435-5574 2005-11-23
1124599592 Jessica Arlene Pesavento Physician Assistant 2201 Glenwood Ave, Joliet, IL 60435-5574 2018-12-11
1336450030 Parkview Orthopaedic Group S C Orthopaedic Surgery 2201 Glenwood Ave, Joliet, IL 60435-5574 2010-06-28
1689814188 Kati Ann Casey Audiologist 2201 Glenwood Ave, Joliet, IL 60435-5574 2009-02-24
1487804944 Jamie Ellen Sikora Audiologist-Hearing Aid Fitter 2201 Glenwood Ave, Joliet, IL 60435-5574 2008-09-22
1386821155 Jeffry Glenn Lapsker Dentist 2201 Glenwood Ave, Joliet, IL 60435-5574 2008-01-23
1447434139 Pmi Diagnostic Imaging LLC Clinic/Center 2201 Glenwood Ave, Pmi Diagnostic Imaging, Joliet, IL 60435-5574 2007-12-18
1629286620 Ent Surgical Consultants Specialist 2201 Glenwood Ave, Joliet, IL 60435-5574 2007-05-21
1851509830 Lisa Marie Weberski I Audiologist 2201 Glenwood Ave, Joliet, IL 60435-5574 2007-05-21
1235345299 Kristine Eubanks Audiologist 2201 Glenwood Ave, Joliet, IL 60435-5574 2007-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851889018 Chime Ajiere Nurse Practitioner 511 Theodore St, Joliet, IL 60435 2018-04-24
1740791284 Melanie Presnak Speech-Language Pathologist 1207 N Larkin Ave, Joliet, IL 60435 2017-10-23
1831618883 Jeriel Marsena Quarles Licensed Practical Nurse 1617 W Jefferson Street, Joliet, IL 60435 2017-09-11
1053769760 Cody Hutchinson Physical Therapy Assistant 2943 W Jefferson St, Joliet, IL 60435 2016-06-03
1659748549 Megan Ryab Massage Therapist 501 Wilcox St, Joliet, IL 60435 2015-08-26
1922416197 Kodo Care, Inc. Pharmacy 221 Springfield Avenue, Suite A, Joliet, IL 60435 2014-07-31
1528489739 My Family Doc LLC Family Medicine 2001-03 Essington Rd, Joliet, IL 60435 2013-12-16
1184973869 R A Lombardi Dds PC Dentist 3011 Theodore St., Joliet, IL 60435 2012-09-10
1245546076 Kelly Rae Lesemann Chiropractor 1011 Essington Road, Joliet, IL 60435 2010-08-31
1932413697 Ann E Todd Optometrist 1521 Essington Road, Everything In Sight, Joliet, IL 60435 2010-08-04
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Taxonomy Information

Taxonomy Code 231HA2400X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist
Specialization Assistive Technology Practitioner

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497315642 Peter Frank Mayer Audiologist 12545 Farm Hill Dr Ste 200, Huntley, IL 60142-7908 2019-06-19
1003318395 Glasenhardt Av Inc. Audiologist 6040 N Rockwell St Apt 1f, Chicago, IL 60659-4007 2018-03-02
1871847129 Hearing Associates, Inc Audiologist 35 Tower Ct Ste A, Gurnee, IL 60031-5712 2012-11-07
1598914426 Barbara Richard Murphy Audiologist 2620 N Chapel Hill Dr, Arlington Heights, IL 60004-2582 2008-09-16
1396089975 Northwestern University Audiology Clinic Audiologist 2240 Campus Dr, Evanston, IL 60208-3550 2012-11-20
1235392614 Karen R Glay Audiologist 5063 Shoreline Rd, Lake Barrington, IL 60010-1700 2008-07-07
1922203298 Midwest Audiology Inc. Audiologist 404 N Galena Ave, Ste 120, Dixon, IL 61021-2115 2007-06-18
1104943331 Janet L. Depalma Audiologist 435 N Mulford Rd, Suite #10a, Rockford, IL 61107-5189 2007-03-23

Competitor

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City JOLIET
Zip Code 60435

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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