Theos Audiology Solutions LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

THEOS AUDIOLOGY SOLUTIONS LLC

Practice address

2200 Marquette Rd Ste 115
Peru, IL 61354-1587

Phone

(815) 223-1100

NPI assigned

Aug 31, 2018

Last updated

Jun 14, 2021By 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

Kendra L TheodosopoulosNPI 1912368416

Title

Owner/Managing Member

Phone

(815) 257-2660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Kendra Lenee Theodosopoulos, AU.D.

  • Audiologist
  • Peru, IL
  • NPI 1912368416
  Medicare reassignment NPD Authorized official
• Kristin Leigh Williford, AUD

  • Audiologist
  • Morris, IL
  • NPI 1568186021
  Medicare reassignment NPD
• Mary Lynn Calderone, M.A.C.C.C.A.

  • Audiologist
  • Galesburg, IL
  • NPI 1124274071
  NPD (past)

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1740762269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MARQUETTE RD STE 115",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541587",
            "telephone_number": "815-223-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MARQUETTE RD STE 115",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541587",
            "telephone_number": "815-223-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 E Losey St",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "614012843",
            "country_code": "US",
            "telephone_number": "309-343-4448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THEOS AUDIOLOGY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "THEODOSOPOULOS",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "815-257-2660"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Richard Stanke, DDS
• Donna J. Sweetland, M.D.
• Lori A Teverbaugh, M.D.
• The Visions Group, Inc. (Sterling Optical)
• Kendra Lenee Theodosopoulos, AU.D.
• Kory David Tieman, PT, DPT
• Timothy J Mertes and Michael D Piller Partners (Mertes Piller Chiropractic)
• Mary Claire Tomminello
• Tricia Tonarelli
• Morgan Torman, LSW

• Hearing and Speech Clinic/Center in Peru, IL
• Providers in Peru, IL by specialty
• Hearing and Speech Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.