Organization Active NPI

Riverglen Ear, Nose & Throat and Audiology, LLC

  • Otolaryngology Physician
  • Plano, IL
National Provider Identifier
1376640730
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
RIVERGLEN EAR, NOSE & THROAT AND AUDIOLOGY, LLC
Practice address
11000 E. RT 34
Ste 3
Plano, IL 60545
Phone
(630) 552-8502
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sanjiv Upadhyay, M.D.NPI 1215987961
Title
Owner
Phone
(630) 552-8502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X IL Primary

Addresses

Primary practice location

11000 E. RT 34
Ste 3
Plano, IL 60545

Mailing address

11000 E. RT 34
Ste 3
Plano, IL 60545
Phone (630) 552-8502

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376640730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 E. RT 34",
            "address_2": "STE 3",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "60545",
            "telephone_number": "630-552-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 E. RT 34",
            "address_2": "STE 3",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "60545",
            "telephone_number": "630-552-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERGLEN EAR, NOSE & THROAT AND AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UPADHYAY",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-552-8502",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.