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WESTERN ILLINOIS ENT AND ALLERGY
NPI 1689751356
Otolaryngology in Streator, IL

Active since November 01, 2006
104 W 6TH ST, SUITE 303, STREATOR, IL 61364(815) 673-6368(866) 262-4460 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Western Illinois Ent And Allergy NPPES

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

WESTERN ILLINOIS ENT AND ALLERGY (NPI 1689751356) is a healthcare organization registered as an otolaryngology in Streator, Illinois and active in the NPI registry since November 2006. The organization lists Charles Dickerson, Owner, as its authorized official.

NPPES Registry Identity

NPI1689751356
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameWESTERN ILLINOIS ENT AND ALLERGY
Location Address104 W 6TH ST, SUITE 303Streator, IL 61364-2899
Mailing Address104 W 6th St, Suite 303Streator, IL 61364-2899 · (815) 673-6368 · Fax (866) 262-4460
Phone(815) 673-6368
Fax(866) 262-4460
Organization SubpartNo
Authorized OfficialCharles DickersonOwner · (815) 673-6368
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1689751356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IL · 36055109
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.
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License 36055109 (IL)
104 W 6TH ST, Streator, IL 61364
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 12

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

SHIN JOH M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
104 W 6TH ST
STREATOR, IL 61364
Lasalle County (815) 673-5533
DR. ROSVIDA ANNE B. SAN GABRIEL M.D.
Pediatrics
104 W 6TH ST, SUITE 303
STREATOR, IL 61364
Lasalle County (815) 673-2353
BRUCE SYLVESTER SMITH M.D.
Obstetrics & Gynecology
104 W 6TH ST, STE 206
STREATOR, IL 61364
Lasalle County (815) 672-1610
PEAK ORTHOPAEDIC & SPORTS CARESC
Orthopaedic Surgery
104 W 6TH ST
STREATOR, IL 61364
Lasalle County (815) 673-3223
ST MARYS HOSPITAL
Orthopaedic Surgery
104 W 6TH ST
STREATOR, IL 61364
Lasalle County (815) 673-3223
DR. CHAO-MING CHEN M.C.
Obstetrics & Gynecology
104 W 6TH ST, SUITE 300
STREATOR, IL 61364
Lasalle County (815) 673-4363
BRUCE SYLVESTER SMITH MD LLC
Specialist
104 W 6TH ST, SUITE 206
STREATOR, IL 61364
Lasalle County (815) 672-1610
RIZWAN S AHMAD M.D.
Surgery
104 W 6TH ST, SUITE 204
STREATOR, IL 61364
Lasalle County (815) 673-5533

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 Western Illinois Ent And Allergy's NPI number?

The NPI number for Western Illinois Ent And Allergy is 1689751356. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Western Illinois Ent And Allergy located?

Western Illinois Ent And Allergy is located at 104 W 6th St Suite 303, Streator, IL 61364. The listed phone number is (815) 673-6368.

What is Western Illinois Ent And Allergy's specialty?

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

When was this NPI record last updated?

The NPPES record for Western Illinois Ent And Allergy was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.