Individual
KENDRA LENEE THEODOSOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2200 MARQUETTE RD STE 115, PERU, IL 61354-1587
(815) 223-1100
(815) 223-4105
Mailing address
2200 MARQUETTE RD STE 115, PERU, IL 61354-1587
(815) 223-1100
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001591
IL
Other
Enumeration date
03/10/2016
Last updated
02/14/2019
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