Active NPI
Mary Ann Jordan
- Audiologist
- Niles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.000217
- Practice address
- 8780 W Golf Rd
Suite 200
Niles, IL 60714-5602 - Phone
- (847) 824-1712
- NPI assigned
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147.000217 | IL | Primary |
Addresses
Primary practice location
8780 W Golf Rd
Suite 200
Niles, IL 60714-5602
Mailing address
1235 Belleforte Ave
Oak Park, IL 60302-1201
Phone (708) 386-5935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147.000217 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear, Nose & Throat Specialists of Illinois LTD | Current | Accepting new patients | |
| Midwest ENT Alliance PLLC | Current | Accepting new patients | |
| Bastian Voice Institute, LLC | Past | Accepting new patients |
Locations
3010 Highland Pkwy
Ste 550
Downers Grove, IL 60515
Phone (630) 724-1100
1900 Hollister Dr
Ste 220
Libertyville, IL 60048
Phone (847) 367-4040
8780 W Golf Rd
Ste 200
Niles, IL 60714
Phone (847) 824-4390
2604 Dempster St
Ste 501
Park Ridge, IL 60068
Phone 8476745585111
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Specialist
- Park Ridge, IL
- NPI 1750340949
-
- Otolaryngology Physician
- Orland Park, IL
- NPI 1588449458
-
- Otolaryngology Physician
- Downers Grove, IL
- NPI 1922122571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1144479064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 BELLEFORTE AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021201",
"telephone_number": "708-386-5935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8780 W GOLF RD",
"address_2": "SUITE 200",
"city": "NILES",
"state": "IL",
"postal_code": "607145602",
"telephone_number": "847-824-1712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "MARY ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.000217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.