MEDICARE: DR. AIDAN JAMES CREAMER AUD

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	231H00000X	Audiologist	147.012366	IL

General Provider Information

NPI Number	:	1922930304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AIDAN JAMES CREAMER AUD

Provider Business Mailing Address
First Line	:	901 S 2ND ST STE 201
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62704-7909
Country	:	US
Telephone Number	:	877-674-1211
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 S 2ND ST STE 201
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62704-7909
Country	:	US
Telephone Number	:	877-674-1211
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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