Roman J. Dykun, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ROMAN J. DYKUN, MD

Doing business as

Affiliated Ear, Nose and Throat Physicians

Practice address

2441 Lake Shore Dr
Woodstock, IL 60098-6911

Phone

(815) 338-4600

Fax

(815) 338-4611

NPI assigned

Oct 10, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Miller

Title

Billing Manager

Phone

(815) 338-4600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Affiliated Ear, Nose and Throat Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Affiliated Ear Nose and Throat Physicians2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Affiliated Ear, Nose and Throat Physicians

  • Otolaryngology Physician
  • Ingleside, IL
  • NPI 1619012010
  NPD tax ID

Locations

Practitioners 9

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.

• Kathryn Brierley, M.A., CCC-A

  • Audiologist
  • Woodstock, IL
  • NPI 1790837532
  Medicare reassignment Care Compare group NPD
• Roman J Dykun, MD

  • Otolaryngology Physician
  • Woodstock, IL
  • NPI 1982701587
  Medicare reassignment Care Compare group NPD
• Sihun Alex Kim, MD

  • Otolaryngology Physician
  • Woodstock, IL
  • NPI 1700974607
  Medicare reassignment Care Compare group NPD
• Mobeen A Shirazi, MD

  • Facial Plastic Surgery Physician
  • Woodstock, IL
  • NPI 1326233081

  Otolaryngology

  Medicare reassignment Care Compare group NPD
• Christopher B Standage, MD

  • Otolaryngology Physician
  • Woodstock, IL
  • NPI 1518065341
  Medicare reassignment Care Compare group NPD
• Kristen M Young, AU.D.

  • Audiologist
  • Woodstock, IL
  • NPI 1003969718
  Medicare reassignment Care Compare group NPD
• Arkadiush Tomash Byskosh, M.D.

  • Otolaryngology Physician
  • Geneva, IL
  • NPI 1629024294
  NPD (past)
• Bryan J Kemker, M.D.

  • Otolaryngology Physician
  • Sterling, IL
  • NPI 1366439390
  NPD (past)
• Brittany Nguyen, AU.D.

  • Audiologist
  • Park Ridge, IL
  • NPI 1376841155
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1407944325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 LAKE SHORE DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600986911",
            "telephone_number": "815-338-4600",
            "fax_number": "815-338-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 LAKE SHORE DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600986911",
            "telephone_number": "815-338-4600",
            "fax_number": "815-338-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN J. DYKUN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "815-338-4600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05620247",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "5632066",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Ear, Nose and Throat Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert E. Haraden DDS, P.C. (Family Dentistry OF Woodstock)
• Elizabeth Caswell Rodgers, PHARM.D.
• Guadalupe Rodriguez
• Mary Josephine Roeber, PT
• Thomas G Rogers, CCC-SLP
• Joseph Ronda, LCSW
• Bibiano Ronquillo, MD
• Angela Root, M.S., CCC-SLP
• Natalie Kaye Roper, DPT
• Rosebud Health Inc (Prophetstown Family Chiropractic)

• Otolaryngology Physician in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.