Dupage ENT, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

8874117 Issued in IL

Legal business name

DUPAGE ENT, LLC

Doing business as

DuPage Children's ENT & Allergy

Practice address

1331 W 75TH St
Naperville, IL 60540-9310

Phone

(630) 761-5531

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Manali S Amin, MDNPI 1982675310

Title

Physician

Phone

(617) 785-0367

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DuPage Children's ENT & Allergy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Manali S Amin, MD

  • Pediatric Otolaryngology Physician
  • Plainfield, IL
  • NPI 1982675310
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1982009924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409310",
            "telephone_number": "630-761-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409310",
            "telephone_number": "630-761-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE ENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "MANALI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "617-785-0367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "8874117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1982675310",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DuPage Children's ENT & Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Dunphy, DPT
• Hoanghuy Chau Duong, PHARMD
• Dupage Dental Center, LTD
• Dupage Dental Group
• Dupage Dental PC
• Dupage Health and Physical Therapy Center SC
• Dupage Integrative Medicine SC
• Dupage Medical Group LTD (M & M Orthpaedics a member of Du Page Medical Group)
• Dupage Medical Group LTD
• Dupage Medical Group LTD (Premier Medical Equipment)

• Otolaryngology Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.