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NPI 1972034262 · Audiologist · Peoria, IL
Provider details
- NPI number
- 1972034262
- Entity type
- Organization
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Michael Mccormack, Owner(309) 682-7697
- License
- 2920 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4016 N Prospect Rd
Peoria, IL 61614-7749
Phone: (309) 682-7697
Street-level locationGet directions
Mailing address
4016 N Prospect Rd
Peoria, IL 61614-7749
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2017-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.