MEDICARE: AYDEN QUEZADA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	HAD.0000604	CO

General Provider Information

NPI Number	:	1316697329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYDEN QUEZADA

Provider Business Mailing Address
First Line	:	750 N COMMONS DR STE 200
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-8025
Country	:	US
Telephone Number	:	630-303-5380
Fax Number	:	630-303-5385

Provider Business Practice Location Address
First Line	:	6702 W COAL MINE AVE
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80123-4573
Country	:	US
Telephone Number	:	720-283-2082
Fax Number	:	720-283-2083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2022
Last Update Date	:	03/11/2026

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