Active NPI
Kyle McClintock
- Hearing Instrument Specialist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 037-3028
- Practice address
- 7800 N Sommer St Ste 305
Peoria, IL 61615-1994 - Phone
- (309) 685-0887
- Fax
- (309) 685-0887
- NPI assigned
- May 19, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 037-3028 | IL | Primary |
Addresses
Primary practice location
7800 N Sommer St Ste 305
Peoria, IL 61615-1994
Mailing address
7800 N Sommer St Ste 305
Peoria, IL 61615-1994
Phone (309) 685-0887
Other practice location 1
3801 Ge Rd Ste 1
Bloomington, IL 61704-4193
Phone (309) 662-9552
Other practice location 2
531 Tenney St
Kewanee, IL 61443-3746
Phone (309) 853-9816
Other practice location 3
261 N Broad St Ste 57
Galesburg, IL 61401-4556
Phone (309) 342-5166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037-3028 | IL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midstate Hearing Inc. | Hearing Instrument Specialist | Current | Accepting new patients |
| Hearing Care Professionals LLC | Hearing Instrument Specialist | Past | Accepting new patients |
| Hearing Doctors of Illinois, Inc. | Past | Accepting new patients |
Locations
261 N Broad St
Ste 57
Galesburg, IL 61401
Phone (309) 342-5166
531 Tenney St
Kewanee, IL 61443
Phone (309) 853-9816
7800 N Sommer St
Ste 305
Peoria, IL 61615
Phone (309) 685-0887
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.
-
- Hearing Instrument Specialist
- Bloomington, IL
- NPI 1497265870
-
- Hearing Instrument Specialist
- Peoria, IL
- NPI 1750249082
-
- Audiologist
- Quincy, IL
- NPI 1053975201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1679000772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 N SOMMER ST STE 305",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151994",
"telephone_number": "309-685-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 N SOMMER ST STE 305",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151994",
"telephone_number": "309-685-0887",
"fax_number": "309-685-0887"
}
],
"practiceLocations": [
{
"address_1": "3801 Ge Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IL",
"postal_code": "617044193",
"country_code": "US",
"telephone_number": "309-662-9552",
"fax_number": "309-662-9552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "531 Tenney St",
"address_purpose": "LOCATION",
"city": "Kewanee",
"state": "IL",
"postal_code": "614433746",
"country_code": "US",
"telephone_number": "309-853-9816",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "261 N Broad St Ste 57",
"address_purpose": "LOCATION",
"city": "Galesburg",
"state": "IL",
"postal_code": "614014556",
"country_code": "US",
"telephone_number": "309-342-5166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLINTOCK",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-19",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "037-3028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.