Organization Active NPI

McMahan-Clemis Institute of Otolaryngology SC

  • Otolaryngology Physician
  • Chicago, IL
National Provider Identifier
1801983283
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MCMAHAN-CLEMIS INSTITUTE OF OTOLARYNGOLOGY SC
Practice address
151 N Michigan Ave
Ste 913
Chicago, IL 60601-7538
Phone
(312) 266-6673
Fax
(312) 266-3680
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Mrs. Nylani S Alicea
Title
Practice Supervisor
Phone
(312) 266-6673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X IL Primary

Addresses

Primary practice location

151 N Michigan Ave
Ste 913
Chicago, IL 60601-7538

Mailing address

151 N Michigan Ave
Ste 913
Chicago, IL 60601-7506
Phone (312) 266-6673

Other identifiers 1

IdentifierTypeStateIssuer
214532OtherILMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

190 E Delaware Pl
#275
Chicago, IL 60611

4646 N Marine Dr
Ste 6100C
Chicago, IL 60640

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1801983283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N MICHIGAN AVE",
            "address_2": "STE 913",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017506",
            "telephone_number": "312-266-6673",
            "fax_number": "312-266-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MICHIGAN AVE",
            "address_2": "STE 913",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017538",
            "telephone_number": "312-266-6673",
            "fax_number": "312-266-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMAHAN-CLEMIS INSTITUTE OF OTOLARYNGOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "ALICEA",
        "authorized_official_first_name": "NYLANI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE SUPERVISOR",
        "authorized_official_telephone_number": "312-266-6673",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "214532",
            "state": "IL"
        }
    ],
    "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 Sep 10, 2014; 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.