HANSEL M DEBARTOLO JR MD SC (NPI# 1518223791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518223791 |
| Entity Type | Organization |
| Organization Name | HANSEL M DEBARTOLO JR MD SC |
| Practice Address |
11 Debartolo Dr. Sugar Grove IL 60554 |
| Practice Telephone | 6308591818 |
| Practice Fax Number | 6308591830 |
| Mailing Telephone | 6308591818 |
| Mailing Fax Number | 6308591830 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-05-08 |
| Authorized Official Name | HANSEL M DEBARTOLO JR. (PRESIDENT) |
| Authorized Official Telephone | 6308591818 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
036-054436 | IL | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 036-054436 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
11 DEBARTOLO DR. |
| City | SUGAR GROVE |
| State | IL |
| Zip Code | 60554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027666 | Linda W Brinkman | Dietitian, Registered | 3s854 Finley Rd, Sugar Grove, IL 60554 | 2020-03-12 |
| 1497244859 | Attentive Individualized Management Physical Therapy, LLC | Clinic/Center | 330b Division Dr, Sugar Grove, IL 60554 | 2018-05-01 |
| 1225587835 | Santa Maria Health | Clinic/Center | 76 S. Main St, Sugar Grove, IL 60554 | 2016-09-23 |
| 1710363734 | Sk Dental Associates PC | Dentist | 495 Route 47, Suite J, Sugar Grove, IL 60554 | 2015-07-31 |
| 1871938621 | Christina Komaniecki | Occupational Therapist | 45 Winthrop New Road, Sugar Grove, IL 60554 | 2013-05-07 |
| 1245570381 | Aleksander Jakubowski | Obstetrics & Gynecology | 8 Heaton Court, Sugar Grove, IL 60554 | 2013-02-27 |
| 1831449172 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 376 N Sugar Grove Pkwy, Sugar Grove, IL 60554 | 2012-09-13 |
| 1942577374 | Leanne Marie Walton | Chiropractor | 522 N Sugar Grove Pkwy Ste C, Sugar Grove, IL 60554 | 2011-11-30 |
| 1104055714 | Kathleen Diane Ely | Social Worker | 172 Brookhaven Court, Sugar Grove, IL 60554 | 2009-07-06 |
| 1861684300 | Sugar Grove Dental Associates,p.c. | Dentist | 495 North Route 47, Suite J, Sugar Grove, IL 60554 | 2007-08-17 |
| Find all providers in zip 60554 | ||||
| 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 |
|---|---|---|---|---|
| 1841838109 | Ryan C. Vaughn, Md Pllc | Otolaryngology | 1900 E Golf Rd Ste L125, Schaumburg, IL 60173-5831 | 2019-12-18 |
| 1265074934 | Toriumi Facial Plastics Pllc | Otolaryngology | 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 | 2019-10-14 |
| 1184281735 | Advanced Ear Nose & Throat Specialists, Pllc | Otolaryngology | 925 N Milwaukee Ave Unit 200, Vernon Hills, IL 60061-1637 | 2019-05-20 |
| 1780144402 | Veronica Maria Drozdowski | Otolaryngology | 2160 S 1st Ave Rm 1870, Maywood, IL 60153-3328 | 2019-03-20 |
| 1205395019 | Brian Yuhan | Otolaryngology | 2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328 | 2019-03-19 |
| 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 |
| 1851811343 | Peter S Dumich | Otolaryngology | 2609 S Nottingham Ct, Champaign, IL 61821-6182 | 2017-06-26 |
| 1104354414 | Sara M. Wing | Otolaryngology | 301 N 8th St Ste 5b, Springfield, IL 62701-1041 | 2017-05-31 |
| 1750734778 | Darius Bliznikas Md Sc | Otolaryngology | 7110 W 127th St Ste 210, Palos Heights, IL 60463-1580 | 2016-07-14 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR GROVE |
| Zip Code | 60554 |
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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.