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).
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 |
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 |
Street Address |
2201 GLENWOOD AVE |
City | JOLIET |
State | IL |
Zip Code | 60435-5574 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 60435 |
Taxonomy Code | 231HA2400X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist |
Specialization | Assistive Technology Practitioner |
Definition to come... |
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 |
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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.