ILLINOIS VALLEY EAR, NOSE & THROAT ASSOCIATES, INC.
NPI 1316163926
Clinic/Center - Medical Specialty in Peru, IL

Active since April 18, 2007
4231 PROGRESS BLVD STE 2, PERU, IL 61354(815) 224-0082(815) 224-1071 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 22, 2020, Nov 26, 2018, Nov 21, 2018 (3 updates tracked since 2018).

About Illinois Valley Ear, Nose & Throat Associates, Inc. NPPES

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

ILLINOIS VALLEY EAR, NOSE & THROAT ASSOCIATES, INC. (NPI 1316163926) is a healthcare organization registered as a medical specialty in Peru, Illinois and active in the NPI registry since April 2007. The organization lists Bulent Mamikoglu, Physician, as its authorized official.

NPPES Registry Identity

NPI1316163926
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameILLINOIS VALLEY EAR, NOSE & THROAT ASSOCIATES, INC.
Location Address4231 PROGRESS BLVD STE 2Peru, IL 61354-1193
Mailing Address4231 Progress Blvd Ste 2Peru, IL 61354-1193 · (815) 224-0082 · Fax (815) 224-1071
Fax(815) 224-1071
Organization SubpartNo
Authorized OfficialBulent MamikogluPhysician · (815) 224-0082
Enumeration DateApril 18, 2007
Last NPPES UpdateJanuary 22, 20203 updates tracked since enumeration
NPI 1316163926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in IL · 336-079161
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X
4231 PROGRESS BLVD STE 2, Peru, IL 61354

Other Identifiers 1

Medicaid036117864-1IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Illinois Valley Ear, Nose & Throat Associates, Inc.'s NPI number?

The NPI number for Illinois Valley Ear, Nose & Throat Associates, Inc. is 1316163926. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Illinois Valley Ear, Nose & Throat Associates, Inc. located?

Illinois Valley Ear, Nose & Throat Associates, Inc. is located at 4231 Progress Blvd Ste 2, Peru, IL 61354. The listed phone number is (815) 224-0082.

What is Illinois Valley Ear, Nose & Throat Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Illinois Valley Ear, Nose & Throat Associates, Inc. was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.