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EAR, NOSE & THROAT SPECIALISTS OF ILLINOIS LTD
NPI 1750340949
Specialist in Park Ridge, IL

Active since March 17, 2006
2604 DEMPSTER ST STE 501, PARK RIDGE, IL 60068(847) 674-5585 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ear, Nose & Throat Specialists Of Illinois Ltd NPPES

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

EAR, NOSE & THROAT SPECIALISTS OF ILLINOIS LTD (NPI 1750340949) is a healthcare organization registered as a specialist in Park Ridge, Illinois and active in the NPI registry since March 2006. The organization maintains a secondary practice location in Niles and lists David Walner, Vice President, as its authorized official.

NPPES Registry Identity

NPI1750340949
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEAR, NOSE & THROAT SPECIALISTS OF ILLINOIS LTD
Location Address2604 DEMPSTER ST STE 501Park Ridge, IL 60068-8429
Mailing Address2604 Dempster St Ste 501Park Ridge, IL 60068-8429 · (847) 674-5585
Phone(847) 674-5585
Organization SubpartNo
Authorized OfficialDavid WalnerVice President · (847) 674-5585
Enumeration DateMarch 17, 2006
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1750340949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 060-001273
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.
2604 DEMPSTER ST STE 501, Park Ridge, IL 60068
Open in Google Maps ↗

Secondary Practice Location 1

Location 18780 W Golf Rd, Suite 200Niles, IL 60714-5602 · Phone (847) 674-5585 · Fax (847) 824-7453

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ear, Nose & Throat Specialists Of Illinois Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Ear, Nose & Throat Specialists Of Illinois Ltd, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Qualified Audiologist16
Otolaryngology11

Nearest to this location (20)

See all 27
Martin Anderson, M.D.
Otolaryngology
NPI 1467767855
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ PECOS✔ Accepts MedicareSame address
Sivan Blonz, MS
Qualified Audiologist
NPI 1558550475
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ Accepts MedicareSame address
Samantha Bloodgood, AU.D.
Qualified Audiologist
NPI 1194593079
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ Accepts MedicareSame address
Gregory Bussell, M.D.
Otolaryngology
NPI 1063404358
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ PECOS✔ Accepts MedicareSame address
Francis Casper, M.D.
Otolaryngology
NPI 1356333637
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ PECOS✔ Accepts MedicareSame address
Katherine Hamming, M.D.
Otolaryngology
NPI 1861684334
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ PECOS✔ Accepts MedicareSame address
Susan Harris, AU.D., CCC-A
Qualified Audiologist
NPI 1417008970
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ Accepts MedicareSame address
Ashley Heilingoetter, MD
Otolaryngology
NPI 1689164410
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ PECOS✔ Accepts MedicareSame address
Patrick Kennedy
Otolaryngology
NPI 1790149862
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ PECOS✔ Accepts MedicareSame address
Nicholas Lygizos, M.D.
Otolaryngology
NPI 1841282126
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ PECOS✔ Accepts MedicareSame address
Lauren Moss, AUD
Qualified Audiologist
NPI 1255776209
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ Accepts MedicareSame address
Merle Nathan, M.A.
Qualified Audiologist
NPI 1427246362
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 592-7725
✔ Accepts MedicareSame address
Brittany Nguyen, AU.D.
Qualified Audiologist
NPI 1376841155
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ Accepts MedicareSame address
Melanie Samuels
Qualified Audiologist
NPI 1770198152
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
Same address
Jordan Teitelbaum, D.O.
Otolaryngology
NPI 1518374784
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ PECOS✔ Accepts MedicareSame address
David Walner, M.D.
Otolaryngology
NPI 1730171018
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ PECOS✔ Accepts MedicareSame address
Sheri Williams, AUD
Qualified Audiologist
NPI 1871681791
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
(847) 674-5585
✔ Accepts MedicareSame address
Julie Landgraf
Qualified Audiologist
NPI 1043408594
8780 W GOLF RD SUITE 200
Niles, IL 60714
(847) 824-4390
1.3 mi
Jeanmarie Carone, M.A.
Qualified Audiologist
NPI 1114210911
8780 W GOLF RD
Niles, IL 60714
(847) 824-8799
✔ Accepts Medicare1.3 mi
Nadieska Caballero
Otolaryngology
NPI 1447489448
1030 HIGGINS RD STE 325
Park Ridge, IL 60068
(847) 287-2078
✔ PECOS✔ Accepts Medicare3.8 mi
See all 27 clinicians

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 Ear, Nose & Throat Specialists Of Illinois Ltd's NPI number?

The NPI number for Ear, Nose & Throat Specialists Of Illinois Ltd is 1750340949. It was assigned to this organization in the NPPES registry on March 17, 2006.

Where is Ear, Nose & Throat Specialists Of Illinois Ltd located?

Ear, Nose & Throat Specialists Of Illinois Ltd is located at 2604 Dempster St Ste 501, Park Ridge, IL 60068. The listed phone number is (847) 674-5585.

What is Ear, Nose & Throat Specialists Of Illinois Ltd's specialty?

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

Is Ear, Nose & Throat Specialists Of Illinois Ltd enrolled in Medicare?

Yes. Ear, Nose & Throat Specialists Of Illinois Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ear, Nose & Throat Specialists Of Illinois Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 2 Medicare specialties reassign their Medicare billing to Ear, Nose & Throat Specialists Of Illinois Ltd. 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. The largest specialties are Qualified Audiologist (16) and Otolaryngology (11). Of these, 17 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ear, Nose & Throat Specialists Of Illinois Ltd was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.