Individual provider Active NPI

Theresa Quednau

  • Hearing Instrument Specialist
  • Champaign, IL
National Provider Identifier
1770050122
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
EH018812 Issued in IL
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

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
EH018812ILMDHearing Instrument Specialist
3291ILMDHearing Aid Equipment

Practice roles

OrganizationSpecialtyStatusNew patients
Quednau Hearing. Inc Hearing Instrument Specialist CurrentSince Oct 15, 2023 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.

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.

Verify at the official NPI Registry.