Individual provider Active NPI

Theodore Nenov, HIS

  • Hearing Instrument Specialist
  • Cary, IL
National Provider Identifier
1780119222
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3304 Issued in IL
Practice address
60 E Main St
Suite 2C
Cary, IL 60013-2227
Phone
(224) 888-4224
Fax
(224) 888-1960
NPI assigned
Apr 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3304 IL Primary

Addresses

Primary practice location

60 E Main St
Suite 2C
Cary, IL 60013-2227

Mailing address

60 E Main St
Suite 2C
Cary, IL 60013-2227
Phone (224) 888-4224

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
3304ILMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mendenhall Inc. Hearing Instrument Specialist CurrentSince Dec 9, 2019 Accepting new patients
Sonik Hearing Care Services Inc. Past Accepting new patients

Locations

60 E Main St
Ste 2C
Cary, IL 60013
Phone (224) 888-1817

Organizations & group practices 2

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1780119222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E MAIN ST",
            "address_2": "SUITE 2C",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132227",
            "telephone_number": "224-888-4224",
            "fax_number": "224-888-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E MAIN ST",
            "address_2": "SUITE 2C",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132227",
            "telephone_number": "224-888-4224",
            "fax_number": "224-888-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENOV",
        "first_name": "THEODORE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.