Individual provider Active NPI

Colleen Plein, M.D.

  • Otolaryngology Physician
  • Libertyville, IL
National Provider Identifier
1114248028
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
36136710 Issued in IL
Practice address
114 W Rockland Rd
Libertyville, IL 60048-2700
Phone
(847) 353-8802
Fax
(866) 700-1910
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 36136710 IL Primary

Addresses

Primary practice location

114 W Rockland Rd
Libertyville, IL 60048-2700

Mailing address

114 W Rockland Rd
Libertyville, IL 60048-2700
Phone (847) 353-8802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150915003226 WI Practitioner - Otolaryngology 3274840723 Reassigns benefits to 1 organization
I20150925000430 IL Practitioner - Otolaryngology 3274840723 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Chicago, Pritzker School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Family Clinic of Wisconsin SCGroup PAC ID 7911997655, 12 clinicians

Practice addresses (Care Compare)

250 W Kensington Rd
Suite 3B
Mount Prospect, IL 60056-1292
Phone (262) 652-2887

6127 Green Bay Rd
Suite 100
Kenosha, WI 53142-2941
Phone (262) 652-2887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36136710ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Family Clinic of Wisconsin SC Otolaryngology CurrentSince Nov 2, 2020 Accepting new patients
Amg Illinois LTD CurrentSince Sep 14, 2015 Accepting new patients
Amg Illinois LTD CurrentSince Sep 14, 2015 Accepting new patients
Specialty Care Institute, PLLC CurrentSince Jun 1, 2018 Accepting new patients
The Vision Institute of Illinois, Inc PastSince Aug 1, 2014 Accepting new patients
Lifeline Medical Associates, LLC PastSince Aug 8, 2022 Accepting new patients

Locations

602 Fox Glen Ct
Barrington, IL 60010
Phone (847) 277-0111

29327 Network Pl
Chicago, IL 60673

1750 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (847) 888-9000

1605 Benson Ave
Evanston, IL 60201
Phone (847) 864-9393

45 Tower Ct
Gurnee, IL 60031
Phone (847) 623-3200

45 Tower Ct
#C
Gurnee, IL 60031
Phone (847) 623-3200

2340 S Highland Ave
Ste 120
Lombard, IL 60148
Phone (262) 652-2887

250 W Kensington Rd
Ste 3B
Mount Prospect, IL 60056
Phone (262) 652-2887

250 W Kensington Rd
Ste 1A
Mt Prospect, IL 60056
Phone (847) 305-8600

6127 Green Bay Rd
Ste 100
Kenosha, WI 53142
Phone (262) 652-2887

8870 S Mayhew Dr
Ste 300
Oak Creek, WI 53154
Phone (262) 652-2887

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECEBA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBACA/Endpoint/BBBACA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1114248028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W ROCKLAND RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482700",
            "telephone_number": "847-353-8802",
            "fax_number": "866-700-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W ROCKLAND RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482700",
            "telephone_number": "847-353-8802",
            "fax_number": "866-700-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEIN",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "36136710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.