Healthcare Provider Details

I. General information

NPI: 1053975201
Provider Name (Legal Business Name): HEARING DOCTORS OF ILLINOIS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2019
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N 36TH ST
QUINCY IL
62301-3704
US

IV. Provider business mailing address

105 N 36TH ST
QUINCY IL
62301-3704
US

V. Phone/Fax

Practice location:
  • Phone: 217-221-8550
  • Fax: 217-292-6564
Mailing address:
  • Phone: 217-221-8550
  • Fax: 217-262-9857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA EILEEN RHODES DIMMICK
Title or Position: OWNER/PRESIDENT
Credential: AUD
Phone: 515-964-1134