Active NPI
Otolaryngology Group LTD
- Otolaryngology Physician
- Glenview, IL
National Provider Identifier
1972517803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- OTOLARYNGOLOGY GROUP LTD
- Practice address
- 3633 W Lake Ave
Suite 300
Glenview, IL 60026-5805 - Phone
- (847) 729-9122
- Fax
- (847) 729-9134
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey P Schonberg, M.D.
- Title
- President
- Phone
- (847) 729-9122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
3633 W Lake Ave
Suite 300
Glenview, IL 60026-5805
Mailing address
3633 W Lake Ave
Suite 300
Glenview, IL 60026-5805
Phone (847) 729-9122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01615422 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryLocations
5140 N California Ave
Ste 650
Chicago, IL 60625
Phone (773) 271-7150
1000 Central St
Ste 741
Evanston, IL 60201
Phone (847) 328-4141
3633 W Lake Ave
Ste 300
Glenview, IL 60026
Phone (847) 699-2490
3633 W Lake Ave
Ste 201
Glenview, IL 60026
Phone (847) 998-9220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972517803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 W LAKE AVE",
"address_2": "SUITE 300",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600265805",
"telephone_number": "847-729-9122",
"fax_number": "847-729-9134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 W LAKE AVE",
"address_2": "SUITE 300",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600265805",
"telephone_number": "847-729-9122",
"fax_number": "847-729-9134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTOLARYNGOLOGY GROUP LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHONBERG",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-729-9122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01615422",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.