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ANDREW JAY HOTALING MD NPI 1912984261


NPI Information

NPI: 1912984261
Provider Name: ANDREW JAY HOTALING, MD
Classification: Otolaryngology - 207YP0228X
Entity Type: Individual

Specialization: Pediatric Otolaryngology

PECOS Registration: Yes

Address:
2160 S FIRST AVE
MAGUIRE CENTER 1870
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-9183
Get Directions

Andrew Jay Hotaling, MD is a pediatric otolaryngology otolaryngology in Maywood, IL. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. Andrew Jay Hotaling, MD NPI is 1912984261. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2160 S FIRST AVE
MAGUIRE CENTER 1870
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-9183
Fax: (708) 216-4834

The NPI 1912984261 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 6/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YP0228XOtolaryngologyPediatric Otolaryngology036-062122ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B44702MEDICARE UPIN
2699540MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3L81118MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
436062122MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.