Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill Anne Pruvost, MS, CCC-A

Individual provider Audiologist · NPI 1366456527

Jill Anne Pruvost, MS, CCC-A is a Qualified Audiologist in Peoria, Illinois. Qualified in 2010, 16 years ago. Practices with Peoria Ear Nose and Throat Group SC, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

7301 N Knoxville Ave
Peoria, IL 61614-2017
Phone: (309) 589-5900
Fax: (309) 683-4120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6809 N Knoxville Ave, Peoria, IL 61614-2812 — (309) 589-5900

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 147.001201 (IL)

Record details

NPI number1366456527
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-A
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Peoria Ear Nose And Throat Group Sc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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