Ear, Nose & Throat Specialists of Illinois LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

060-001273 Issued in IL

Legal business name

EAR, NOSE & THROAT SPECIALISTS OF ILLINOIS LTD

Practice address

2604 Dempster St Ste 501
Park Ridge, IL 60068-8429

Phone

(847) 674-5585

NPI assigned

Mar 17, 2006

Last updated

May 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David WalnerNPI 1730171018

Title

Vice President

Phone

(847) 674-5585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 50

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.

• David L. Walner, M.D.

  • Pediatric Otolaryngology Physician
  • Park Ridge, IL
  • NPI 1730171018
  Medicare reassignment NPD Authorized official
• Martin Emil Anderson Jr., M.D.

  • Otolaryngology Physician
  • Park Ridge, IL
  • NPI 1467767855
  Medicare reassignment NPD
• Sivan Blonz, MS

  • Audiologist-Hearing Aid Fitter
  • Park Ridge, IL
  • NPI 1558550475
  Medicare reassignment NPD
• Samantha Bloodgood, AU.D.

  • Audiologist
  • Park Ridge, IL
  • NPI 1194593079
  Medicare reassignment NPD
• Gregory S. Bussell, M.D.

  • Otolaryngology Physician
  • Park Ridge, IL
  • NPI 1063404358
  Medicare reassignment NPD
• Nadieska Caballero

  • Otolaryngology Physician
  • Park Ridge, IL
  • NPI 1447489448
  Medicare reassignment NPD
• Jeanmarie Carone, M.A.

  • Audiologist
  • Niles, IL
  • NPI 1114210911
  Medicare reassignment NPD
• Francis A. Casper, M.D.

  • Otolaryngology Physician
  • Park Ridge, IL
  • NPI 1356333637
  Medicare reassignment NPD
• Debra Bell Garber, M.A. CCC-A

  • Audiologist
  • Niles, IL
  • NPI 1477768075
  Medicare reassignment NPD
• Katherine Koepke Hamming, M.D.

  • Otolaryngology Physician
  • Park Ridge, IL
  • NPI 1861684334
  Medicare reassignment NPD
• Susan Rickels Harris, AU.D., CCC-A

  • Audiologist
  • Park Ridge, IL
  • NPI 1417008970
  Medicare reassignment NPD
• Ashley Lauren Heilingoetter, MD

  • Otolaryngology Physician
  • Park Ridge, IL
  • NPI 1689164410
  Medicare reassignment NPD

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1750340949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 501",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688429",
            "telephone_number": "847-674-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 501",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688429",
            "telephone_number": "847-674-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8780 W Golf Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607145602",
            "country_code": "US",
            "telephone_number": "847-674-5585",
            "fax_number": "847-824-7453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT SPECIALISTS OF ILLINOIS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "WALNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-674-5585"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "060-001273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Peter Dyke, RPH
• Clara Zuzanna Dylewski
• Wojciech Dyrek, DDS
• Bakir Dzananovic, DO
• Eaglin and Associates Counseling, LTD.
• Ear, Nose and Throat Center S.C.
• Cordus Raymond Easington, M.D.
• Eastern Vitality Acupuncture Inc.
• Brenda Mullan Eberline, M.S. CCC-SLP
• Elizabeth Eck

• Specialist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.