IndividualActive
Amanda Diederich, AUDIOLOGIST
NPI 1548442049 · Assistive Technology Practitioner Audiologist · Joliet, IL
Provider details
- NPI number
- 1548442049
- Entity type
- Individual
- Primary specialty
- Assistive Technology Practitioner AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AUDIOLOGIST
- Sex
- Female
- Sole proprietor
- No
- License
- 147001236 (IL)
Practice location
2201 Glenwood Ave
Joliet, IL 60435-5574
Phone: (815) 725-1191
Fax: (815) 725-1248
Mailing address
2201 Glenwood Ave
Joliet, IL 60435-5574
Registry dates
- Enumerated
- 2007-11-27
- Last updated
- 2012-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.