Organization Active NPI

Ear Bar Clinic PLLC

Doing business as Ear Bar

  • Otolaryngology Physician
  • Chicago, IL
National Provider Identifier
1649962622
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR BAR CLINIC PLLC
Doing business as
Ear Bar
Practice address
330 W Grand Ave Ste a
Chicago, IL 60654-5818
Phone
(312) 877-5522
Fax
(312) 877-5521
NPI assigned
May 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Dr. Sehjin Han, MDNPI 1114005600
Title
Manager
Phone
(312) 877-5522

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

330 W Grand Ave Ste a
Chicago, IL 60654-5818

Mailing address

330 W Grand Ave Ste a
Chicago, IL 60654-5818
Phone (312) 238-9988

Other names 1

  • EAR BAR Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230816003678 IL Part B Supplier - Clinic/Group Practice 6002278470 Receives reassigned benefits from 3 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

330 W Grand Ave
Ste A
Chicago, IL 60654
Phone (312) 238-9988

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1649962622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W GRAND AVE STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545818",
            "telephone_number": "312-238-9988",
            "fax_number": "312-238-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W GRAND AVE STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545818",
            "telephone_number": "312-877-5522",
            "fax_number": "312-877-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR BAR CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "SEHJIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-877-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAR BAR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EAR BAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.