Active NPI
Theresa Quednau
- Hearing Instrument Specialist
- Champaign, IL
National Provider Identifier
1770050122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- EH018812
- Practice address
- 2916 Crossing CT Ste B
Champaign, IL 61822-5900 - Phone
- (217) 693-7085
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | EH018812 | IL | Primary |
| Hearing Aid Equipment | 332S00000X | 3291 | IL |
Addresses
Primary practice location
2916 Crossing CT Ste B
Champaign, IL 61822-5900
Mailing address
2916 Crossing CT Ste B
Champaign, IL 61822-5900
Phone (217) 693-7085
Other practice location 1
710 N Vermilion St Ste 1
Danville, IL 61832-3982
Phone (217) 443-0682
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 |
|---|---|---|---|
| EH018812 | IL | MD | Hearing Instrument Specialist |
| 3291 | IL | MD | Hearing Aid Equipment |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quednau Hearing. Inc | Hearing Instrument Specialist | Current | Accepting new patients |
Locations
411 Devonshire Dr
Champaign, IL 61820
Phone (217) 352-2573
2916 Crossing Ct
Ste B
Champaign, IL 61822
Phone (217) 693-7085
Organizations & group practices 1
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
- Champaign, IL
- NPI 1831660315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1770050122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 CROSSING CT STE B",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618225900",
"telephone_number": "217-693-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2916 CROSSING CT STE B",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618225900",
"telephone_number": "217-693-7085"
}
],
"practiceLocations": [
{
"address_1": "710 N Vermilion St Ste 1",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "IL",
"postal_code": "618323982",
"country_code": "US",
"telephone_number": "217-443-0682",
"fax_number": "217-443-8358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUEDNAU",
"first_name": "THERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "EH018812",
"primary": true
},
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "IL",
"license": "3291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.