SPOON RIVER HEARING SERVICES INC NPI 1003030115

NPI Information

  • NPI: 1003030115
  • Provider Name: SPOON RIVER HEARING SERVICES INC
  • Classification: Audiologist - 231H00000X
  • Entity Type: Organization
  • Address: 180 S MAIN ST
    CANTON, IL
    ZIP 61520
  • Phone: (309) 647-0201

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NPI Details

SPOON RIVER HEARING SERVICES INC is an audiologist in Canton, IL. The provider is (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. SPOON RIVER HEARING SERVICES INC NPI is 1003030115. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

180 S MAIN ST
CANTON, IL
ZIP 61520-608
Phone: (309) 647-0201
Fax: (309) 649-8950

The provider's authorized official is Sandi Greene Deford .
The authorized official title is Audiologist and has the following contact phone number (309) 647-0201.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1231H00000XAudiologist147000582ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1212492MEDICARE ID-TYPE UNSPECIFIED
235672291302MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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