ASSOCIATES IN EAR NOSE & THROAT AND HEAD & NECK SURGERY
NPI 1205989993
Specialist in Elgin, IL

Active since January 18, 2007
2050 LARKIN AVE, SUITE 102, ELGIN, IL 60123(847) 742-7458(847) 742-0191 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Associates In Ear Nose & Throat And Head & Neck Surgery NPPES

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

ASSOCIATES IN EAR NOSE & THROAT AND HEAD & NECK SURGERY (NPI 1205989993) is a healthcare organization registered as a specialist in Elgin, Illinois and active in the NPI registry since January 2007. The organization lists Jongwook Ham, President, as its authorized official.

NPPES Registry Identity

NPI1205989993
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameASSOCIATES IN EAR NOSE & THROAT AND HEAD & NECK SURGERY
Location Address2050 LARKIN AVE, SUITE 102Elgin, IL 60123-4405
Mailing Address2050 Larkin Ave Ste 102Elgin, IL 60123-5888 · (847) 742-7458 · Fax (847) 742-0191
Fax(847) 742-0191
Organization SubpartNo
Authorized OfficialJongwook HamPresident · (847) 742-7458
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMay 6, 2021
NPPES CertifiedMay 6, 2021
✔ NPI 1205989993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 042003973
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2050 LARKIN AVE, Elgin, IL 60123

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Associates In Ear Nose & Throat And Head & Neck Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20110209000382Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Associates In Ear Nose & Throat And Head & Neck Surgery, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Otolaryngology
NPI 1174574073
2050 LARKIN AVE SUITE 102
Elgin, IL 60123
(847) 742-7458
✔ PECOSSame address
Otolaryngology
NPI 1700838992
2050 LARKIN AVE SUITE 102
Elgin, IL 60123
(847) 742-7458
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Associates In Ear Nose & Throat And Head & Neck Surgery's NPI number?

The NPI number for Associates In Ear Nose & Throat And Head & Neck Surgery is 1205989993. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Associates In Ear Nose & Throat And Head & Neck Surgery located?

Associates In Ear Nose & Throat And Head & Neck Surgery is located at 2050 Larkin Ave Suite 102, Elgin, IL 60123. The listed phone number is (847) 742-7458.

What is Associates In Ear Nose & Throat And Head & Neck Surgery's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Associates In Ear Nose & Throat And Head & Neck Surgery enrolled in Medicare?

Yes. Associates In Ear Nose & Throat And Head & Neck Surgery is registered in the Medicare PECOS enrollment system.

When is Associates In Ear Nose & Throat And Head & Neck Surgery's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Associates In Ear Nose & Throat And Head & Neck Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Otolaryngology, reassign their Medicare billing to Associates In Ear Nose & Throat And Head & Neck Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Associates In Ear Nose & Throat And Head & Neck Surgery was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.