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MICHIGAN AVENUE ENT P.C.
NPI 1043735483
Otolaryngology in Chicago, IL

Active since August 07, 2017CLIA 14D2324672 · Waiver
180 N MICHIGAN AVE STE 1610, CHICAGO, IL 60601(312) 229-9000(312) 201-1202 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 7, 2017 (2 updates tracked since 2017).

About Michigan Avenue Ent P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN AVENUE ENT P.C. (NPI 1043735483) is a healthcare organization registered as an otolaryngology in Chicago, Illinois and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through May 28, 2027 and lists James A. Runke, Owner & Medical Director, as its authorized official.

NPPES Registry Identity

NPI1043735483
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameMICHIGAN AVENUE ENT P.C.
Location Address180 N MICHIGAN AVE STE 1610Chicago, IL 60601-7401
Mailing Address180 N Michigan Ave Ste 1610Chicago, IL 60601-7401 · (312) 229-9000 · Fax (312) 201-1202
Phone(312) 229-9000
Fax(312) 201-1202
Organization SubpartNo
Authorized OfficialJames A. RunkeOwner & Medical Director · (312) 229-9000
Enumeration DateAugust 7, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1043735483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
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.
180 N MICHIGAN AVE STE 1610, Chicago, IL 60601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2324672

Michigan Avenue Ent · Chicago, IL
Active · expires May 28, 2027
CLIA Number14D2324672
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorJames A. Runke
Laboratory Phone(312) 229-9000
Laboratory LocationMichigan Avenue Ent180 N Michigan Ave - Ste 1700, Chicago, IL 60601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIAN W DIXON M.D.
Otolaryngology
180 N MICHIGAN AVE STE 1610
CHICAGO, IL 60601
Cook County (312) 994-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michigan Avenue Ent P.C.'s NPI number?

The NPI number for Michigan Avenue Ent P.C. is 1043735483. It was assigned to this organization in the NPPES registry on August 7, 2017.

Where is Michigan Avenue Ent P.C. located?

Michigan Avenue Ent P.C. is located at 180 N Michigan Ave Ste 1610, Chicago, IL 60601. The listed phone number is (312) 229-9000.

What is Michigan Avenue Ent P.C.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does Michigan Avenue Ent P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2324672) is associated with this NPI, valid through May 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michigan Avenue Ent P.C. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.