Central Illinois Hearing & Speech LTD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147000273 Issued in IL

Legal business name

CENTRAL ILLINOIS HEARING & SPEECH LTD

Doing business as

Central Illinois Hearing Ltd

Practice address

4000 Westgate Dr
Springfield, IL 62711-7066

Phone

(217) 726-6101

Fax

(217) 726-6103

NPI assigned

May 15, 2009

Last updated

Oct 21, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David M. Groesch, AUDNPI 1730149196

Title

Owner

Phone

(217) 726-6101

Specialties & licenses 1

Addresses

Other names 1

• Central Illinois Hearing Ltd Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Groesch, AUD

  • Audiologist
  • Springfield, IL
  • NPI 1730149196
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer C Edmonds, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Springfield, IL
  • NPI 1760479539
  Medicare reassignment Care Compare group NPD
• Abby Lynne Wright, AU.D.

  • Audiologist
  • Springfield, IL
  • NPI 1124346663
  Medicare reassignment Care Compare group NPD
• Cynthia T Merritt, CCC-A

  • Audiologist
  • Springfield, IL
  • NPI 1992988331
  NPD (past)
• Jean Townsend

  • Audiologist
  • Springfield, IL
  • NPI 1639207533
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1679708929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WESTGATE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117066",
            "telephone_number": "217-726-6101",
            "fax_number": "217-726-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WESTGATE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117066",
            "telephone_number": "217-726-6101",
            "fax_number": "217-726-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS HEARING & SPEECH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "GROESCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-726-6101",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Illinois Hearing Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Audiologist in Springfield, IL
• Providers in Springfield, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.