Mir Joffrey MD, LLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

036.122339 Issued in IL

Legal business name

MIR JOFFREY MD, LLC

Doing business as

Smart Sinus and Allergy

Practice address

1100 E Woodfield Rd
Suite 140
Schaumburg, IL 60173-5116

Phone

(847) 278-1885

Fax

(630) 635-2496

NPI assigned

Nov 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mir Jafer Joffrey, M.D.

Title

Surgeon/President

Phone

(847) 278-1885

Specialties & licenses 3

Addresses

Other names 1

• SMART SINUS AND ALLERGY Doing business as

Locations

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1083916845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E WOODFIELD RD",
            "address_2": "SUITE 140",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735116",
            "telephone_number": "847-278-1885",
            "fax_number": "630-635-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E WOODFIELD RD",
            "address_2": "SUITE 140",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735116",
            "telephone_number": "847-278-1885",
            "fax_number": "630-635-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIR JOFFREY MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "JOFFREY",
        "authorized_official_first_name": "MIR",
        "authorized_official_middle_name": "JAFER",
        "authorized_official_title_or_position": "SURGEON/PRESIDENT",
        "authorized_official_telephone_number": "847-278-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036.122339",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IL",
            "license": "036.122339",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "IL",
            "license": "036.122339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART SINUS AND ALLERGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Otolaryngology/Facial Plastic Surgery Physician in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.