Northwest ENT Associates, S.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NORTHWEST ENT ASSOCIATES, S.C.

Practice address

7447 W Talcott Ave Ste 316
Chicago, IL 60631-3714

Phone

(773) 467-1285

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

Cheri Anne Glover

Title

Manager

Phone

(773) 467-1469

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1892/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Mary L Pryka, NP

  • Nurse Practitioner
  • Niles, IL
  • NPI 1972590719
  NPD (past)
• John M Brockenbrough, MD

  • Otolaryngology Physician
  • Kirkland, WA
  • NPI 1134154131
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144331208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313714",
            "telephone_number": "773-467-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ENT ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-467-1469"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360860903",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360942493",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361106343",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Anesthesiologists, S.C.
• Northwest Chicago Medical LTD
• Northwest Chicago Primary Care SC
• Northwest Chiropractix Inc.
• Northwest Dentistry
• Northwest General Surgeons LTD
• Northwest Health Care, LTD
• Northwest Home Care, Inc. (Abcor Home Health, Inc.)
• Northwest Labs LLC
• Northwest Medical and Urgent Care Center at Madison LTD

• 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 Aug 22, 2020; 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.