Healthcare Provider Details

I. General information

NPI: 1699791863
Provider Name (Legal Business Name): CYNTHIA ERDOS AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 S ADDISON AVE
VILLA PARK IL
60181-2877
US

IV. Provider business mailing address

830 S ADDISON AVE # 11018
VILLA PARK IL
60181-2877
US

V. Phone/Fax

Practice location:
  • Phone: 630-620-4433
  • Fax: 630-320-1148
Mailing address:
  • Phone: 630-620-4433
  • Fax: 630-620-1148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number147-001001
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number147001001
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number147001001
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147001001
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: