See 'WikiDevi' @ the Internet Archive (MW XML, Files, Images)
For a list of all currently documented Conexant chipsets with specifications, see Conexant.
"3028-000201" and "R1.1" is silkscreened on the board in the FCC photos.
FCC photos show the device with a Siemens branded shell.
Probable 00:90:96 OUI (on MAC label on back of the board in the FCC photos)
The FCC manual specifies the default SSID as IEEE 802.11 LAN, default IP as 192.168.1.1, and default password as admin. This is presumed to be accurate..