Mona Marie Dworsack, AU.D., CCC-A, FAAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147.001835 Issued in IL

Practice address

7301 N Knoxville Ave
Peoria, IL 61614-2017

Phone

(309) 589-8051

Fax

(309) 689-0312

NPI assigned

Sep 15, 2021

Last updated

Jul 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peoria Ear Nose and Throat Group SCGroup PAC ID 9234179870, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peoria Ear, Nose and Throat Group, S.C.

  • Otolaryngology Physician
  • Peoria, IL
  • NPI 1952380628

  Audiologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1871263475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 HOWARD AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731113",
            "telephone_number": "309-338-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142017",
            "telephone_number": "309-589-8051",
            "fax_number": "309-689-0312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6809 N Knoxville Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616142812",
            "country_code": "US",
            "telephone_number": "309-589-8051",
            "fax_number": "309-689-0312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWORSACK",
        "first_name": "MONA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Durbin, DC
• Barbara Ann Durdle, P.T.
• Katelyn Durdle, APRN
• Dustin Leon Durr, OT
• Amy M Durst, APN
• Melissa J. Dye
• Cody Dykes, CRNA
• Sarah Dynia
• Eagle Family Medicine SC
• Caitlyn Nicole Easley, APRN

• Audiologist in Peoria, IL
• Providers in Peoria, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.