Northern Illinois ENT Specialists LTD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036110856 Issued in IL

Legal business name

NORTHERN ILLINOIS ENT SPECIALISTS LTD

Practice address

2127 Midlands CT
Suite 203
Sycamore, IL 60178-3173

Phone

(815) 758-8106

Fax

(815) 758-8108

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Michael Scianna, MD

Title

President

Phone

(815) 758-8106

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Abraham N Lotan, MD

  • Otolaryngology Physician
  • Sycamore, IL
  • NPI 1760418214
  NPD (past)
• Matthew Schneider

  • Physician Assistant
  • Chicago, IL
  • NPI 1750661815
  NPD (past)
• Nancy L Grandgeorge, AUD

  • Audiologist
  • Fort Leonard Wood, MO
  • NPI 1033372040
  NPD (past)

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548547200000",
    "number": "1437334828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 MIDLANDS CT",
            "address_2": "SUITE 203",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783173",
            "telephone_number": "815-758-8106",
            "fax_number": "815-758-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 MIDLANDS CT",
            "address_2": "SUITE 203",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783173",
            "telephone_number": "815-758-8106",
            "fax_number": "815-758-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ILLINOIS ENT SPECIALISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2019-01-27",
        "status": "A",
        "authorized_official_last_name": "SCIANNA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-758-8106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036110856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; 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.