Michigan Avenue ENT P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MICHIGAN AVENUE ENT P.C.

Practice address

180 N Michigan Ave Ste 1610
Chicago, IL 60601-7401

Phone

(312) 229-9000

Fax

(312) 201-1202

NPI assigned

Aug 7, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James A. Runke, MDNPI 1952425035

Title

Owner & Medical Director

Phone

(312) 229-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julian W Dixon, M.D.

  • Otolaryngology Physician
  • Chicago, IL
  • NPI 1568628337
  Medicare reassignment NPD
• James A Runke, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1952425035
  NPD Authorized official
• James Thomas Barrett, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1407863210
  NPD
• Mona Clor, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1932182003
  NPD
• Jocelin Gamez, PA-C

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1881193001
  NPD
• Nathan Jent, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1184296303
  NPD
• Jeannette Suzanne Codere Kelly, D.O.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1154769081
  NPD
• Anne-Sophie Kim, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1285195396
  NPD
• Michael Eugene Kupkowski, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1598081598
  NPD
• Ulrike Zenke Lengyel, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1790983831
  NPD
• Joshua Robert Merok, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1063685451
  NPD
• Lauren Landerholm Miller, DO

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1790280881
  NPD

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043735483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 1610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "312-229-9000",
            "fax_number": "312-201-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 1610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "312-229-9000",
            "fax_number": "312-201-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN AVENUE ENT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RUNKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-229-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Ave Chiropractic and Wellness
• Michigan Ave Medical Associates LLC
• Michigan Ave Podiatry LLC 1
• Michigan Ave Psychiatry & Counseling Center
• Michigan Avenue Center for Health, LTD.
• Michigan Avenue Hearing Health P.C.
• Michigan Avenue Immediate Care
• Michigan Avenue Internists
• Michigan Avenue Primary Care, S.C.
• Michigan Avenue Psychotherapy, LLC

• Otolaryngology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.