NPIMap

Organization Active NPI

Fox Valley Ear, Nose and Throat, Assoc., S.C.

  • Specialist
  • St Charles, IL
National Provider Identifier
1851326797
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FOX VALLEY EAR, NOSE AND THROAT, ASSOC., S.C.
Practice address
2210 Dean St
Suite L
Saint Charles, IL 60175-1066
Phone
(630) 377-5000
Fax
(630) 377-5028
NPI assigned
Jul 11, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David S. Hemmer, MDNPI 1710984729
Title
President
Phone
(630) 377-5000

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
Specialist 174400000X IL Primary

Addresses

Primary practice location

2210 Dean St
Suite L
Saint Charles, IL 60175-1066

Mailing address

2210 Dean St
Suite L
Saint Charles, IL 60175-1066
Phone (630) 377-5000

Other identifiers 1

IdentifierTypeStateIssuer
CF4185OtherILMEDICARE RAILROAD PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001421 IL Part B Supplier - Clinic/Group Practice 7517858764 Receives reassigned benefits from 8 practitioners
Practice locations: Algonquin, IL; Elgin, IL; Saint Charles, IL

National Provider Directory

National Provider Directory

Locations

2971 W Algonquin Rd
Ste 102
Algonquin, IL 60102
Phone (847) 854-0005

750 Fletcher Dr
Ste 100
Elgin, IL 60123
Phone (847) 741-3677

351 Delnor Dr
Ste 406
Geneva, IL 60134
Phone (630) 208-3099

2210 Dean St
Ste L
St Charles, IL 60175
Phone (630) 377-5000

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851326797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "address_2": "SUITE L",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751066",
            "telephone_number": "630-377-5000",
            "fax_number": "630-377-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "address_2": "SUITE L",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751066",
            "telephone_number": "630-377-5000",
            "fax_number": "630-377-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY EAR, NOSE AND THROAT, ASSOC., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HEMMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-377-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "CF4185",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.