Organization Active NPI

Illinois Sinus Center ENT Associates SC

  • Otolaryngology Physician
  • Schaumburg, IL
National Provider Identifier
1013933928
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ILLINOIS SINUS CENTER ENT ASSOCIATES SC
Practice address
1375 E Woodfield Rd Ste 120
Schaumburg, IL 60173-5423
Phone
(847) 882-5888
Fax
(847) 882-5951
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Donna Skrzypczak
Title
Medical Office Manager
Phone
(847) 882-5888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X

Addresses

Primary practice location

1375 E Woodfield Rd Ste 120
Schaumburg, IL 60173-5423

Mailing address

1375 E Woodfield Rd Ste 120
Schaumburg, IL 60173-5423
Phone (847) 882-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080915000394 IL Part B Supplier - Clinic/Group Practice 3779659867 Receives reassigned benefits from 3 practitioners
Practice locations: Hoffman Estates, IL; Elk Grove Village, IL; Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

1375 E Woodfield Rd
Ste 120
Schaumburg, IL 60173
Phone (847) 882-5888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1013933928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E WOODFIELD RD STE 120",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735423",
            "telephone_number": "847-882-5888",
            "fax_number": "847-882-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E WOODFIELD RD STE 120",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735423",
            "telephone_number": "847-882-5888",
            "fax_number": "847-882-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS SINUS CENTER ENT ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "SKRZYPCZAK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "MEDICAL OFFICE MANAGER",
        "authorized_official_telephone_number": "847-882-5888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.