Midwest ENT Alliance PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MIDWEST ENT ALLIANCE PLLC

Practice address

15884 W 127TH St
Lemont, IL 60439-7422

Phone

(708) 460-0007

NPI assigned

Feb 8, 2024

Organization subpart

No

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

Authorized official

Name

Nirav Thakkar, MDNPI 1770750804

Title

Authorized Official

Phone

(708) 460-0007

Specialties & licenses 1

Addresses

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 1

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

• Nirav Narendra Thakkar, M.D.

  • Otolaryngology Physician
  • Orland Park, IL
  • NPI 1770750804
  NPD Authorized official

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1114781309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 108TH AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15884 W 127TH ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604397422",
            "telephone_number": "708-460-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 W 95th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532539",
            "country_code": "US",
            "telephone_number": "708-460-0007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16001 108th Ave",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604678788",
            "country_code": "US",
            "telephone_number": "708-460-0007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 W Winchester Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485321",
            "country_code": "US",
            "telephone_number": "847-367-5770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 S Greenleaf St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600315705",
            "country_code": "US",
            "telephone_number": "847-662-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST ENT ALLIANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "708-460-0007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Delores Melton, PHARMD
• Michael McVady LLC (Neck and Back Pain Relief of Lemont)
• Sara Ashley Michalak, PHARMD
• Gary Edward Michalowski, DC
• Matthew Mickas, DPT
• Lora Mikuzis, PHARM.D.
• Erin Conner Miller
• Mindful Discoveries Therapy, PLLC
• Ashley Elizabeth Miniet, APRN-FNP-C
• Caitlyn M Mitchell, COTA/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.