NPIMap

Organization Active NPI

Ear, Nose & Throat Institute of Southern Illinois LTD.

  • Otolaryngology Physician
  • Swansea, IL
National Provider Identifier
1194825174
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
042.000860 Issued in IL
Legal business name
EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD.
Practice address
19 Wolf Creek Dr
Swansea, IL 62226-2355
Phone
(618) 235-3687
Fax
(618) 239-9492
NPI assigned
Sep 22, 2006
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Murray Daniel McGrady, M.D.NPI 1942203617
Title
President
Phone
(618) 235-3687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 042.000860 IL Primary

Addresses

Primary practice location

19 Wolf Creek Dr
Swansea, IL 62226-2355

Mailing address

19 Wolf Creek Dr
Swansea, IL 62226-2355
Phone (618) 235-3687

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1194825174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WOLF CREEK DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262355",
            "telephone_number": "618-235-3687",
            "fax_number": "618-239-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WOLF CREEK DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262355",
            "telephone_number": "618-235-3687",
            "fax_number": "618-239-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MCGRADY",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-235-3687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "042.000860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.