NPIMap

Organization Active NPI

Northern Illinois ENT Specialists LTD

  • Otolaryngology Physician
  • Sycamore, IL
National Provider Identifier
1437334828
Registry record updated Jan 27, 2019
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jan 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2019

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

Authorized official

Name
Dr. Joseph Michael Scianna, MDNPI 1033171285
Title
President
Phone
(815) 758-8106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 036110856 IL Primary

Addresses

Primary practice location

2127 Midlands CT
Suite 203
Sycamore, IL 60178-3173

Mailing address

2127 Midlands CT
Suite 203
Sycamore, IL 60178-3173
Phone (815) 758-8106

National Provider Directory

National Provider Directory

Locations

2127 Midlands Ct
Ste 20
Sycamore, IL 60178
Phone (815) 758-8106

2535 Bethany Rd
Ste 200
Sycamore, IL 60178
Phone (815) 758-8106

Practitioners & affiliated clinicians

Practitioners 4

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": "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": []
}

Other providers in Sycamore, IL

Sources for this page

  • 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.