Northwestern Nasal & Sinus

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

9256297 Issued in IL

Legal business name

NORTHWESTERN NASAL & SINUS

Practice address

676 N St S Clair
#1575 Northwestern Nasal & Sinus
Chicago, IL 60611

Phone

(312) 266-6673

Fax

(213) 266-3680

NPI assigned

Jun 26, 2006

Last updated

Jun 24, 2008By 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

Mr. Michael J Tassi

Title

Cfo

Phone

(312) 266-6673

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1144257387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N ST S CLAIR",
            "address_2": "#1575 NORTHWESTERN NASAL & SINUS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-266-6673",
            "fax_number": "213-266-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N ST S CLAIR",
            "address_2": "#1575 NORTHWESTERN NASAL & SINUS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-266-6673",
            "fax_number": "213-266-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN NASAL & SINUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "TASSI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-266-6673",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "9256297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwestern Memorial Hospital
• Northwestern Memorial Hospital
• Northwestern Memorial Physicians Group
• Northwestern Memorial Physicians Group (NMPG (Secondary))
• Northwestern Memorial Physicians Group (NMPG)
• Northwestern Neurology Associates
• Northwestern Neuropsychology Institute, S.C (Randa Sabbagha)
• Northwestern Neurosurgical Associates., S.C.
• Northwestern Obstetrics and Gynecology Consultants, LLC
• Northwestern Oral & Maxillofacial Surgeons PC

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.