Individual provider · Type 1 NPI

Jill Anne Pruvost, M.S., CCC-A

Audiologist · Peoria, IL

NPI number 1366456527 Active

Practice location

7301 N Knoxville Ave
Peoria, IL 61614-2017

Fax (309) 683-4120

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Audiologist Primary 231H00000X147.001201 (IL)

Audiologist: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit…

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About NPI 1366456527

Jill Anne Pruvost, M.S., CCC-A's National Provider Identifier is 1366456527, issued on Jul 27, 2006. The primary taxonomy on file is Audiologist (231H00000X), and the practice location is in Peoria, IL. The record was last updated on Sep 17, 2026.