Active NPI
Northside Ear, Nose and Throat, SC
- Otolaryngology Physician
- Skokie, IL
National Provider Identifier
1356513246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- NORTHSIDE EAR, NOSE AND THROAT, SC
- Practice address
- 9669 N. Kenton Ave
Suite 605
Skokie, IL 60076-1248 - Phone
- (847) 674-3626
- Fax
- (847) 674-5250
- NPI assigned
- Mar 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven David Horwitz, MD
- Title
- Owner
- Phone
- (847) 674-3626
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X | 036050064 | IL |
Addresses
Primary practice location
9669 N. Kenton Ave
Suite 605
Skokie, IL 60076-1248
Mailing address
9669 N. Kenton Ave
Suite 605
Skokie, IL 60076-1248
Phone (847) 674-3626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036050064 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1356513246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9669 N. KENTON AVE",
"address_2": "SUITE 605",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761248",
"telephone_number": "847-674-3626",
"fax_number": "847-674-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9669 N. KENTON AVE",
"address_2": "SUITE 605",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761248",
"telephone_number": "847-674-3626",
"fax_number": "847-674-5250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSIDE EAR, NOSE AND THROAT, SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-31",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "HORWITZ",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-674-3626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "IL",
"license": "036050064",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036050064",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
- Northshore University Healthsystem (NorthShore University HealthSystem Home & Hospice Services)
- Northshore University Healthsystem (NorthShore University HealthSystem Home & Hospice Svcs)
- Northshore University Healthsystem (NorthShore University HealthSystem Home & Hospice Svcs)
- Northshore University Healthsystem Faculty Practice Associates (Knox Pain Center)
- Northshore University Healthsystem Home and Hospice Services
- Northwest Home Medical Supplies Inc
- Gerald M. Noskin, D.D.S.
- Stanton C. Noskin, D.D.S.
- Nourish Psychotherapy LLC
- Nova Pharmacy LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.