NPIMap

Organization Active NPI

ENT Surgical Consultants, LTD

  • Otolaryngology Physician
  • Joliet, IL
National Provider Identifier
1881620177
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ENT SURGICAL CONSULTANTS, LTD
Practice address
2201 Glenwood Ave
Joliet, IL 60435-5574
Phone
(815) 725-1191
Fax
(815) 725-2048
NPI assigned
Jun 25, 2006
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Thomas K Kron, MDNPI 1972586899
Title
President
Phone
(815) 725-1191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2201 Glenwood Ave
Joliet, IL 60435-5574

Mailing address

2201 Glenwood Ave
Joliet, IL 60435-5574
Phone (815) 725-1191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825000546 IL Part B Supplier - Clinic/Group Practice 2668446584 Receives reassigned benefits from 18 practitioners
Practice locations: Joliet, IL; Morris, IL; New Lenox, IL

National Provider Directory

National Provider Directory

Locations

119 E Jefferson St
Morris, IL 60450
Phone (815) 941-0400

960 W US Route 6
Morris, IL 60450

1890 Silver Cross Blvd
Ste 435
New Lenox, IL 60451
Phone (815) 725-1191

15300 West Ave
Ste 305
Orland Park, IL 60462
Phone (708) 349-5500

Interoperability endpoints

  • Direct secure messaging: ankitpatel@entsc.allscriptsdirect.net
  • Direct secure messaging: jeffreyweishaar@entsc.allscriptsdirect.net
  • Direct secure messaging: matthewbartindale@entsc.allscriptsdirect.net
  • Direct secure messaging: michaelgartlan@entsc.allscriptsdirect.net
  • Direct secure messaging: rajeevmehta@entsc.allscriptsdirect.net
  • Direct secure messaging: scottdivenere@entsc.allscriptsdirect.net
  • Direct secure messaging: sungchung@entsc.allscriptsdirect.net
  • Direct secure messaging: walterrooney@entsc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1881620177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355574",
            "telephone_number": "815-725-1191",
            "fax_number": "815-725-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355574",
            "telephone_number": "815-725-1191",
            "fax_number": "815-725-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT SURGICAL CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "KRON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-725-1191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.