NPIMap

Organization Active NPI

University of Illinois

Doing business as University of Illinois Audiology Clinic

  • Audiologist
  • Champaign, IL
National Provider Identifier
1861409450
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.000339 Issued in IL
Legal business name
UNIVERSITY OF ILLINOIS
Doing business as
University of Illinois Audiology Clinic
Practice address
2001 S Oak St Ste B
Champaign, IL 61820-0912
Phone
(217) 333-2205
Fax
(217) 333-2206
NPI assigned
Aug 3, 2006
Last updated
Aug 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Clarion Mendes, CCC-SLPNPI 1659645513
Title
Director of Clinical Education
Phone
(217) 333-2205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.000339 IL Primary

Addresses

Primary practice location

2001 S Oak St Ste B
Champaign, IL 61820-0912

Mailing address

2001 S Oak St Ste B
Champaign, IL 61820-0912
Phone (217) 333-2205

Other names 2

  • University of Illinois Audiology Clinic Doing business as
  • Department of Speech and Hearing Science Other name

National Provider Directory

National Provider Directory
Tax ID family
Uic Dept of Pathology122 organizations share this tax ID, including this one
Part of
Uic Dept of Pathology

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1861409450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S OAK ST STE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618200912",
            "telephone_number": "217-333-2205",
            "fax_number": "217-333-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S OAK ST STE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618200912",
            "telephone_number": "217-333-2205",
            "fax_number": "217-333-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ILLINOIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "MENDES",
        "authorized_official_first_name": "CLARION",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL EDUCATION",
        "authorized_official_telephone_number": "217-333-2205",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.000339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Illinois Audiology Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Department of Speech and Hearing Science",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 27, 2019; 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.