Chicago Nasal and Sinus Center S C

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036-087346 Issued in IL

Legal business name

CHICAGO NASAL AND SINUS CENTER S C

Practice address

111 W Washington St
Suite 903
Chicago, IL 60602-2703

Phone

(312) 372-9355

Fax

(312) 372-9356

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Jordan B Pritikin, M.D.NPI 1770585259

Title

Sole Proprietor

Phone

(312) 372-9355

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan B Pritikin, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Chicago, IL
  • NPI 1770585259
  Medicare reassignment Care Compare group NPD Authorized official
• Amy Brussee, MS PA

  • Physician Assistant
  • Chicago, IL
  • NPI 1033340153
  Medicare reassignment Care Compare group
• Michelle Roberts

  • Speech-Language Pathologist
  • Chicago, IL
  • NPI 1396250296
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1366497026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W WASHINGTON ST STE 903",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022762",
            "telephone_number": "312-372-9355",
            "fax_number": "312-372-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W WASHINGTON ST",
            "address_2": "SUITE 903",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022703",
            "telephone_number": "312-372-9355",
            "fax_number": "312-372-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO NASAL AND SINUS CENTER S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "PRITIKIN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "312-372-9355",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036-087346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "040017908",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0001633140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.