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General NPI Number Information
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NPI Number | 1053975201
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Entity Type | Organization
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Legal Business Name | HEARING DOCTORS OF ILLINOIS, INC.
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 105 N 36TH ST
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City | QUINCY
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State | IL
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Zip | 62301-3704
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Country | US
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Telephone | 217-221-8550
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Fax | 217-292-6564
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Provider Business Mailing Address
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Address Line | 105 N 36TH ST
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City | QUINCY
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State | IL
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Zip | 62301-3704
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Country | US
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Telephone | 217-221-8550
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Fax | 217-262-9857
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JESSICA EILEEN RHODES DIMMICK
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Credential | AUD
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Telephone | 515-964-1134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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