Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendra Lenee Theodosopoulos, AUD

Individual provider Audiologist · NPI 1912368416

Kendra Lenee Theodosopoulos, AUD is a Qualified Audiologist in Peru, Illinois. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

2200 Marquette Rd Ste 115
Peru, IL 61354-1587
Phone: (815) 223-1100
Fax: (815) 223-4105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 147001591 (IL)

Record details

NPI number1912368416
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedMarch 10, 2016
Last updated in NPPESFebruary 14, 2019

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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