KENDRA LENEE THEODOSOPOULOS (NPI# 1912368416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912368416 |
| Entity Type | Individual |
| Full Name | KENDRA LENEE THEODOSOPOULOS |
| Credential | AU.D. |
| Practice Address |
2200 Marquette Rd Ste 115 Peru IL 61354-1587 |
| Practice Telephone | 8152231100 |
| Practice Fax Number | 8152234105 |
| Mailing Telephone | 8152231100 |
| Mailing Fax Number | 6303035385 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 147001591 | IL | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7630 S County Line Rd, Burr Ridge, IL 605276981 | 6303213555 |
| Street Address |
2200 MARQUETTE RD STE 115 |
| City | PERU |
| State | IL |
| Zip Code | 61354-1587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740762269 | Theos Audiology Solutions LLC | Clinic/Center | 2200 Marquette Rd Ste 115, Peru, IL 61354-1587 | 2018-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
| 1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
| 1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
| 1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
| 1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
| 1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
| 1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
| 1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
| 1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
| Find all providers in zip 61354 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700229473 | Lucas William Meyers | Audiologist | 4040 Progress Blvd, Peru, IL 61354-1124 | 2013-04-12 |
| 1871846204 | Beth Ann Wallace | Audiologist | 4040 Progress Blvd, Peru, IL 61354-1124 | 2012-10-23 |
| 1215280821 | Connect Hearing, Inc. | Audiologist | 2200 Marquette Rd, Suite 115, Peru, IL 61354-1547 | 2012-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585724 | Leeann Cropsey | Audiologist | 1710 N Randall Rd Ste 210, Elgin, IL 60123-7904 | 2020-10-12 |
| 1720605298 | Lauren Wingard | Audiologist | 404 N Galena Ave Ste 120, Dixon, IL 61021-2179 | 2020-07-01 |
| 1265058135 | Jennifer Hwang | Audiologist | 750 Fletcher Dr Ste 100, Elgin, IL 60123-4703 | 2020-06-17 |
| 1831718618 | Naperville Hearing Services Pllc | Audiologist | 10 Martin Ave Ste 260, Naperville, IL 60540-6547 | 2020-04-13 |
| 1548890098 | Rachel Sarai Barr | Audiologist | 4440 W 95th St Rm 1339h, Oak Lawn, IL 60453-2600 | 2020-01-23 |
| 1730719337 | Juan Elias Vasquez | Audiologist | 920 W Cullom Ave Ph Unit, Chicago, IL 60613-1632 | 2020-01-22 |
| 1144866351 | Jamie Herskovitz | Audiologist | 5758 S Maryland Ave Rm 4754, Chicago, IL 60637-1426 | 2019-11-22 |
| 1437794005 | Maureen Louise Virts | Audiologist | 5857 S Maryland Ave, Chicago, IL 60637-1463 | 2019-11-07 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1144864042 | Jacqueline Rose Kjolhede | Audiologist | 800 Biesterfield Rd Ste 401, Elk Grove Village, IL 60007-3378 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
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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.