NPIMap

Organization Active NPI

Ear, Nose & Throat Care Center, LTD.

  • Otolaryngology Physician
  • Barrington, IL
National Provider Identifier
1962063776
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR, NOSE & THROAT CARE CENTER, LTD.
Practice address
27790 W Highway 22 Ste 27
Barrington, IL 60010-2396
Phone
(847) 649-6000
NPI assigned
Jun 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Jason G Cundiff, MDNPI 1053325233
Title
President
Phone
(815) 355-1912

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X Primary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X

Addresses

Primary practice location

27790 W Highway 22 Ste 27
Barrington, IL 60010-2396

Mailing address

27790 W Highway 22 Ste 27
Barrington, IL 60010-2396
Phone (847) 649-6000

Other names 1

  • Ear, Nose & Throat Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190816000008 IL Part B Supplier - Clinic/Group Practice 1759618580 Receives reassigned benefits from 12 practitioners
Practice locations: Barrington, IL; Elk Grove Village, IL

National Provider Directory

National Provider Directory

Locations

800 Biesterfield Rd
Ste 401
Elk Grove Village, IL 60007
Phone (847) 357-9486

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1962063776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27790 W HIGHWAY 22 STE 27",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102396",
            "telephone_number": "847-649-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27790 W HIGHWAY 22 STE 27",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102396",
            "telephone_number": "847-649-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT CARE CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-23",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-355-1912",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ear, Nose & Throat Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ear, Nose & Throat Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.