Active NPI
Peter D. Sotiropoulos, Au.D. & Assoc, PC
- Assistive Technology Supplier Audiologist
- Kankakee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Audiologist
- Legal business name
- PETER D. SOTIROPOULOS, AU.D. & ASSOC, PC
- Practice address
- 1455 W Court St
Kankakee, IL 60901-3263 - Phone
- (815) 939-2024
- Fax
- (815) 939-3043
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter D. Sotiropoulos, AU.D.
- Title
- President
- Phone
- (815) 939-2024
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Supplier Audiologist | 231HA2500X | IL | Primary |
Addresses
Primary practice location
1455 W Court St
Kankakee, IL 60901-3263
Mailing address
1455 W Court St
Kankakee, IL 60901-3263
Phone (815) 939-2024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982770038 | Other | IL | NATIONAL PROVIDER NUMBER |
Other names 1
- The Hearing Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Assistive Technology Supplier Audiologist
- Steger, IL
- NPI 1700953817
O20061130000525
National Provider Directory
National Provider DirectoryLocations
1455 W Court St
Kankakee, IL 60901
Phone (815) 939-2024
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1982770038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 W COURT ST",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013263",
"telephone_number": "815-939-2024",
"fax_number": "815-939-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 W COURT ST",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013263",
"telephone_number": "815-939-2024",
"fax_number": "815-939-3043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER D. SOTIROPOULOS, AU.D. & ASSOC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "SOTIROPOULOS",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-939-2024",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231HA2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER NUMBER",
"identifier": "1982770038",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Hearing Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.