Active NPI
Judith Prena
- Audiologist
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147000496
- Practice address
- 2040 Ogden Ave Ste 401
Aurora, IL 60504-7208 - Phone
- (630) 585-7100
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147000496 | IL | Primary |
Addresses
Primary practice location
2040 Ogden Ave Ste 401
Aurora, IL 60504-7208
Mailing address
5000 Cheshire Pkwy N
Plymouth, MN 55446-4103
Phone (888) 510-0766
Other practice location 1
2354 Hassell Rd
Ste F
Hoffman Estates, IL 60195-2167
Phone (847) 490-1670
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jprena234192@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1508 Aurora Ave
Naperville, IL 60540-6210
Phone (630) 692-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147000496 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Connect Hearing, Inc. | Audiologist | Past | Accepting new patients |
Locations
2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700
1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700
3400 S Indiana Ave
Chicago, IL 60616
Phone (312) 482-5000
28594 Network Pl
Chicago, IL 60673
1508 Aurora Ave
Naperville, IL 60540
Phone (630) 585-7100
Interoperability endpoints
- jprena234192@direct.myadvocateaurora.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Aurora, IL
- NPI 1003542184
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1477592947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHESHIRE PKWY N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554464103",
"telephone_number": "888-510-0766",
"fax_number": "763-268-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 OGDEN AVE STE 401",
"city": "AURORA",
"state": "IL",
"postal_code": "605047208",
"telephone_number": "630-585-7100"
}
],
"practiceLocations": [
{
"address_1": "2354 Hassell Rd",
"address_2": "Ste F",
"address_purpose": "LOCATION",
"city": "Hoffman Estates",
"state": "IL",
"postal_code": "601952167",
"country_code": "US",
"telephone_number": "847-490-1670",
"fax_number": "847-490-1703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRENA",
"first_name": "JUDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147000496",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jprena234192@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2040 Ogden Ave Ste 401",
"city": "Aurora",
"state": "IL",
"country_code": "US",
"postal_code": "605047208",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2040 Ogden Ave Ste 401",
"city": "Aurora",
"state": "IL",
"country_code": "US",
"postal_code": "605047208",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aurora, IL
- Preethi Mohan DDS LLC
- Preferred Prescriptions Pharmacy LLC
- Premier American Hispanic Medical Services SC
- Premier Dental Clinic, LLC
- Premier Medical Associates, LLC
- Donald Paul Prentiss Jr., M.D.
- Presence Central and Suburban Hospitals Network
- Presence Central and Suburban Hospitals Network
- Presence Central and Suburban Hospitals Network
- Presence Central and Suburban Hospitals Network
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.