Individual provider Active NPI

Lindsey Anne Portugal, AU.D.

  • Audiologist
  • Chicago, IL
National Provider Identifier
1801118435
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147-001340 Issued in IL
Practice address
2525 S Michigan Ave
Ear Nose & Throat Center
Chicago, IL 60616-2333
Phone
(312) 567-2316
NPI assigned
Feb 23, 2010
Last updated
Apr 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147-001340 IL Primary

Addresses

Primary practice location

2525 S Michigan Ave
Ear Nose & Throat Center
Chicago, IL 60616-2333

Mailing address

2525 S Michigan Ave
Chicago, IL 60616-2333
Phone (312) 567-2002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000833 IL Practitioner - Qualified Audiologist 3779608062 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest ENT Alliance PLLCGroup PAC ID 5294276259, 97 clinicians

Practice addresses (Care Compare)

2604 Dempster St
Suite 501
Park Ridge, IL 60068-8429
Phone (847) 674-5585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147-001340ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Professionals of Il LTD Audiologist CurrentSince Apr 8, 2026 Accepting new patients
Midwest ENT Alliance PLLC CurrentSince Feb 10, 2025 Accepting new patients
Ear, Nose & Throat Specialists of Illinois LTD CurrentSince Dec 1, 2011 Accepting new patients
Bastian Voice Institute, LLC PastSince Sep 22, 2003 Accepting new patients

Locations

111 S Pfingsten Rd
Ste 106
Deerfield, IL 60015

3010 Highland Pkwy
Ste 550
Downers Grove, IL 60515
Phone (630) 724-1100

8780 W Golf Rd
Ste 200
Niles, IL 60714
Phone (847) 824-4390

2604 Dempster St
Ste 501
Park Ridge, IL 60068
Phone 8476745585111

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1801118435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "EAR NOSE & THROAT CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTUGAL",
        "first_name": "LINDSEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-001340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.