CHICAGO NASAL AND SINUS CENTER S C (NPI# 1366497026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366497026 |
| Entity Type | Organization |
| Organization Name | CHICAGO NASAL AND SINUS CENTER S C |
| Practice Address |
111 W Washington St Suite 903 Chicago IL 60602-2703 |
| Mailing Address |
Po Box 160 Matteson IL 60443-0160 |
| Practice Telephone | 3123729355 |
| Practice Fax Number | 3123729356 |
| Mailing Telephone | 7087475850 |
| Mailing Fax Number | 7087479991 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-11-25 |
| Authorized Official Name | JORDAN B PRITIKIN (SOLE PROPRIETOR) |
| Authorized Official Telephone | 3123729355 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 036-087346 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RRMC | 040017908 | 01 |
| IL | BLUE SHIELD | 0001633140 | 01 |
| Street Address |
111 W WASHINGTON ST SUITE 903 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60602-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549427 | Lauren Domski | Nurse Practitioner | 111 W Washington St, Suite 901, Chicago, IL 60602-2703 | 2016-06-15 |
| 1083069199 | Dental Loft - The Loop | Dentist | 111 W Washington St, Suite 1350, Chicago, IL 60602-2703 | 2016-04-26 |
| 1538595434 | Ageless Men's Health Holdings, LLC | Specialist | 111 W Washington St, Suite 901, Chicago, IL 60602-2703 | 2013-09-24 |
| 1033340153 | Amy Brussee | Physician Assistant | 111 W Washington St, Suite 903, Chicago, IL 60602-2703 | 2009-08-06 |
| 1609899913 | Kevin E. Hunt | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-07-26 |
| 1578592069 | Brian P. Lavery | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-06-30 |
| 1104852722 | Anne M. Suh | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-06-24 |
| 1578509451 | Audrey M. Tatar | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-06-21 |
| 1154367167 | Arnold M. Tatar | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-06-20 |
| 1710932728 | Arnold M. Tatar, Md Sc | Internal Medicine | 111 W Washington St, Suite 1801, Chicago, IL 60602-2703 | 2006-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
| 1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
| 1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
| 1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
| 1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
| 1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
| 1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
| 1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
| 1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
| 1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
| Find all providers in zip 60602 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074934 | Toriumi Facial Plastics Pllc | Otolaryngology | 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 | 2019-10-14 |
| 1285100529 | Lauren E Lesniewski | Otolaryngology | 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 | 2018-10-14 |
| 1982100525 | Muyinat Yewande Osoba | Otolaryngology | 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 | 2018-04-03 |
| 1366822009 | Camil Correia | Otolaryngology | 675 N Saint Clair St Fl 15, Chicago, IL 60611-5975 | 2015-06-08 |
| 1093104523 | Omotara Sulyman | Otolaryngology | 1855 W Taylor St Rm 242, Chicago, IL 60612-7242 | 2015-01-21 |
| 1497012694 | Christopher Robert Roxbury | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 | 2012-04-12 |
| 1174899066 | Victoria S Lee | Otolaryngology | 1855 W Taylor St Ste 3, Chicago, IL 60612-7244 | 2012-03-26 |
| 1043508872 | Glenda Lois Montague | Otolaryngology | 5814 S Maryland Ave, U of Chicago Ent Mc 1035 Room E-102 C/o Shanna Jones, Chicago, IL 60637-1462 | 2011-07-13 |
| 1467773960 | Siva Kumar Elangovan | Otolaryngology | 680 N Lake Shore Dr Ste 1425, Chicago, IL 60611-4451 | 2010-06-18 |
| 1598085383 | Virginie Achim | Otolaryngology | 1855 W Taylor St Rm 2.42, Chicago, IL 60612-7242 | 2010-06-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.