Affiliated Ear, Nose and Throat Physicians
Organization Active NPI Otolaryngology Physician · Ingleside, IL
NPI 1619012010 · NPPES record last updated Jun 16, 2008
Key facts
- NPI
- 1619012010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- Legal business name
- AFFILIATED EAR, NOSE AND THROAT PHYSICIANS
- Practice address
- 214 Washington St
Ingleside, IL 60041-9208 - Phone
- (847) 587-4700
- Fax
- (847) 587-6034
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Fay Wilson
- Title
- Practice Manager
- Phone
- (815) 338-4600
Corporate family (same tax ID) 1
Practitioners 10
-
Kathryn Brierley, M.A., CCC-A
-
Arkadiush Tomash Byskosh, M.D.
-
Roman J Dykun, MD
-
Bryan J Kemker, M.D.
-
Sihun Alex Kim, MD
-
Brittany Nguyen, AU.D.
-
Mobeen A Shirazi, MD
-
Justin Edward Wittkopf, M.D.
-
Kristen M Young, AU.D.
National Provider Directory
- Tax ID family
- Affiliated Ear Nose and Throat Physicians
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
207Y00000X | Yes |
Addresses
Primary practice location
214 Washington St
Ingleside, IL 60041-9208
Mailing address
2441 Lake Shore Dr
Woodstock, IL 60098-6911
Phone (815) 338-4600
Other providers in Ingleside, IL
- All Time Urgent Care LLC
- Big Hollow School District 38
- Cecelia Blue
- Michelle Elizabeth Dace
- Ethan Dennis Dahl
All providers in Ingleside, IL · Otolaryngology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.