Head and Neck Associates 2 S C

Primary specialty

SpecialistTaxonomy code 174400000X

License

36-082725 Issued in IL

Legal business name

HEAD AND NECK ASSOCIATES 2 S C

Practice address

800 Biesterfield Rd
Suite 3008
Elk Grove VLG, IL 60007-3311

Phone

(847) 437-0061

Fax

(847) 437-0103

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Patti Imburgia

Title

Office Manager

Phone

(847) 437-0061

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Alexis M Calice, PA-C

  • Surgical Physician Assistant
  • Chicago, IL
  • NPI 1164679247
  NPD (past)
• John L. Gorny, M.D.

  • Specialist
  • Elk Grove Village, IL
  • NPI 1396793337
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1659339778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 3008",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-437-0061",
            "fax_number": "847-437-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 3008",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-437-0061",
            "fax_number": "847-437-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD AND NECK ASSOCIATES 2 S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "IMBURGIA",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-437-0061"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "36-082725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elk Grove Internists, P.C.
• Sandra L Fallico
• Family Medical Clinic, Inc.
• Gissel Ferrer
• Sabrina Gutierrez
• Healthier Behavior Therapy Solutions
• Dulce Hernandez, RBT
• Robert John Hult Jr., DDS
• Innocent Children Foundation
• Gunash M Ismailova, APN

• Specialist in Elk Grove VLG, IL
• Providers in Elk Grove VLG, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.