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

Mrs. Amanda Diederich, AUDIOLOGIST

Individual provider Assistive Technology Practitioner Audiologist · NPI 1548442049

Mrs. Amanda Diederich, AUDIOLOGIST is a Qualified Audiologist in Joliet, Illinois. Qualified in 2006, 20 years ago. Practices with ENT Surgical Consultants Ltd, a 16-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
20
Licensed in
IL
In the registry since
2007

Practice location Address checks out

2201 Glenwood Ave
Joliet, IL 60435-5574
Phone: (815) 725-1191
Fax: (815) 725-1248
Show map & directions

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

Specialties & licences

Assistive Technology Practitioner Audiologist (primary) Taxonomy 231HA2400X · Licence 147001236 (IL)

Record details

NPI number1548442049
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUDIOLOGIST
Sole proprietorNo
NPI enumeratedNovember 27, 2007
Last updated in NPPESJanuary 11, 2012

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Ent Surgical Consultants Ltd — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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