Active NPI
Lon J Petchenik, M.D.
- Otolaryngology Physician
- Rolling Meadows, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036-081936
- Practice address
- 5999 New Wilke Rd BLDG 1
Rolling Meadows, IL 60008-4506 - Phone
- (847) 259-2530
- Fax
- (847) 259-4930
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036-081936 | IL | Primary |
Addresses
Primary practice location
5999 New Wilke Rd BLDG 1
Rolling Meadows, IL 60008-4506
Mailing address
5999 New Wilke Rd BLDG 1
Rolling Meadows, IL 60008-4506
Phone (847) 259-2530
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | petchenik@subent.gwaydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5999 New Wilke Rd
BLDG 1
Rolling Meadows, IL 60008-4506
Phone (847) 259-2530
Hospital & facility affiliations
- Northwest Community Hospital 1
- St Alexius Medical Center
- Alexian Brothers Medical Center 1
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.16 of 100
- Quality
- 98.79
- Improvement activities
- 40
- Cost
- 82.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-081936 | IL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Ear,Nose & Throat Assoc., LTD. | Specialist | Current | Accepting new patients |
| Midwest ENT Alliance PLLC | Otolaryngology | Current | Accepting new patients |
| Bastian Voice Institute, LLC | Otolaryngology | Past | Accepting new patients |
Locations
880 W Central Rd
Ste 7200
Arlington Hts, IL 60005
Phone (847) 259-2530
3010 Highland Pkwy
Ste 550
Downers Grove, IL 60515
Phone (630) 724-1100
1555 N Barrington Rd
Bldg 1
Hoffman Estates, IL 60169
Phone (224) 299-4222
1555 N Barrington Rd
Ste 530
Hoffman Estates, IL 60169
Phone (847) 259-2530
5999 New Wilke Rd
Bldg 1
Rolling Meadows, IL 60008
Phone (847) 259-2530
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.
-
- Otolaryngology Physician
- Orland Park, IL
- NPI 1588449458
-
- Otolaryngology Physician
- Rolling Meadows, IL
- NPI 1427148329
Specialist
-
- Otolaryngology Physician
- Downers Grove, IL
- NPI 1922122571
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elk Grove Village, IL
- NPI 1265577191
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
-
- General Acute Care Hospital
- Hoffman Estates, IL
- NPI 1376644385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1285630780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5999 NEW WILKE RD BLDG 1",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600084506",
"telephone_number": "847-259-2530",
"fax_number": "847-259-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5999 NEW WILKE RD BLDG 1",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600084506",
"telephone_number": "847-259-2530",
"fax_number": "847-259-4930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETCHENIK",
"first_name": "LON",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036-081936",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "petchenik@subent.gwaydirect.com",
"affiliation": "N",
"address_1": "5999 New Wilke Rd Bldg 1",
"city": "Rolling Meadows",
"state": "IL",
"country_code": "US",
"postal_code": "600084506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rolling Meadows, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.