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NORTHSIDE EAR NOSE AND THROAT SC NPI 1356513246


NPI Information

NPI: 1356513246
Provider Name: NORTHSIDE EAR, NOSE AND THROAT, SC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
9669 N. KENTON AVE
SUITE 605
SKOKIE, IL
ZIP 60076
Phone: (847) 674-3626
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NORTHSIDE EAR, NOSE AND THROAT, SC is an otolaryngology in Skokie, IL. The provider is 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. NORTHSIDE EAR, NOSE AND THROAT, SC NPI is 1356513246. The provider is registered as an organization entity type.

The provider's business location address is:

9669 N. KENTON AVE
SUITE 605
SKOKIE, IL
ZIP 60076-248
Phone: (847) 674-3626
Fax: (847) 674-5250

The provider's authorized official is Steven David Horwitz .
The authorized official title is Owner and has the following contact phone number (847) 674-3626.

The enumeration date for this NPI number is 3/31/2008 and was last updated on 3/7/2023.


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
1261QM2500XClinic/CenterMedical Specialty036050064ILLINOISNo
2207Y00000XOtolaryngologyYes

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
1036050064MEDICAIDILLINOIS

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

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