MIR JOFFREY MD, LLC (NPI# 1083916845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083916845 |
| Entity Type | Organization |
| Organization Name | MIR JOFFREY MD, LLC |
| Other Organization Name | SMART SINUS AND ALLERGY |
| Practice Address |
1100 E Woodfield Rd Suite 140 Schaumburg IL 60173-5116 |
| Practice Telephone | 8472781885 |
| Practice Fax Number | 6306352496 |
| Mailing Telephone | 8472781885 |
| Mailing Fax Number | 6306352496 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | DR. MIR JAFER JOFFREY (SURGEON/PRESIDENT) |
| Authorized Official Telephone | 8472781885 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 202K00000X | Phlebology | 036.122339 | IL | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
036.122339 | IL | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
036.122339 | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SMART SINUS AND ALLERGY | Doing Business As Name - Organization |
| Street Address |
1100 E WOODFIELD RD SUITE 140 |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60173-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033380175 | Converge Home Health Care LLC | Home Health | 1100 E Woodfield Rd, Suite 130, Schaumburg, IL 60173-5116 | 2008-03-17 |
| 1528504297 | Robert Treffert | Behavioral Analyst | 1100 E Woodfield Rd, Schaumburg, IL 60173-5116 | 2017-01-18 |
| 1467816918 | Smart Sinus and Allergy Florida LLC | Otolaryngology | 1100 E Woodfield Rd, Suite 140, Schaumburg, IL 60173-5116 | 2016-04-11 |
| 1023476322 | Blue Light Aba Consultants | Behavioral Analyst | 1100 E Woodfield Rd, Suite 140, Schaumburg, IL 60173-5116 | 2016-02-02 |
| 1679845317 | Claire Westrick | Counselor | 1100 E Woodfield Rd, Suite 433, Schaumburg, IL 60173-5116 | 2012-01-26 |
| 1871743989 | Jodi Lynn Mcglone | Psychologist | 1100 E Woodfield Rd, Suite #140, Schaumburg, IL 60173-5116 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800600 | Daniella M Raimondi | Counselor | 1305 Remington Rd Suite U, Schaumburg, IL 60173 | 2020-01-07 |
| 1821562588 | Pathways Counseling P C. | Psychologist | 937 N. Plum Grove Rd., Suite D, Schaumburg, IL 60173 | 2019-01-16 |
| 1346741931 | Rebecca E Montgomery, D.d.s., P.C. | Dentist | 1501 E. Woodfield Rd., Suite 100e, Schaumburg, IL 60173 | 2018-02-28 |
| 1508364431 | Joseph Mazzei Sc | Clinic/Center | 1827 Walden Office Sq Ste 250, Schaumburg, IL 60173 | 2018-01-25 |
| 1093234098 | Bridgette Koukos | Counselor | Fair Counseling, 2010 E Algonquin Rd, Suite 206, Schaumburg, IL 60173 | 2017-09-12 |
| 1467970095 | Julie Sweeney | Social Worker | 650 E. Algonquin Rd. Suite 108, Schaumburg, IL 60173 | 2017-09-04 |
| 1952781189 | Riismaa Psychological Services, Inc. | Psychologist | 1325 Remington Road, Suite R, Schaumburg, IL 60173 | 2015-06-03 |
| 1306239736 | Lana Batinic | Counselor | 1305 Remington Rd Ste U, Schaumburg, IL 60173 | 2015-03-10 |
| 1265824734 | Elgin Medical Pain Management | Anesthesiology | 1037 E Woodfield Rd., Schaumburg, IL 60173 | 2015-02-20 |
| 1891127395 | Kristen Lee Nicholls | Nurse Practitioner | 943 N. Plum Grove Road, Suite B, Schaumburg, IL 60173 | 2013-08-07 |
| Find all providers in zip 60173 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487834958 | Ryan C Vaughn | Otolaryngology | 814 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326338526 | Sudeep Roy | Otolaryngology | 1640 N Arlington Heights Rd Ste 210, Arlington Heights, IL 60004-3985 | 2011-04-10 |
| 1023214426 | Otolaryngology Associates Sc | Otolaryngology | 233 E Erie St Ste 804, Chicago, IL 60611-2906 | 2007-06-22 |
| 1982769717 | Anthony James Geroulis | Otolaryngology | 330 West Frontage Rd., Northfield, IL 60093 | 2006-12-22 |
| 1821191404 | Gary G Wiesman | Otolaryngology | 712 N Dearborn St, Chicago, IL 60654-3846 | 2006-09-07 |
| 1912926205 | Bryan W Rubach | Otolaryngology | 2040 Ogden Ave Ste 301, Aurora, IL 60504-7205 | 2006-07-18 |
| 1609805985 | Howard Shane Kotler | Otolaryngology | 2555 S. Martin Luther King Dr., Chicago, IL 60616 | 2006-06-30 |
| 1447288303 | Thomas E. Turcotte Jr. | Otolaryngology | 215 E. 1st St., Suite #315, Ksb Medical Group, Dixon, IL 61021 | 2006-06-29 |
| 1477184562 | Chicago Nose and Sinus LLC | Otolaryngology | 680 N Lake Shore Dr Ste 1425, Chicago, IL 60611-4451 | 2020-01-28 |
| 1780935197 | Jeffrey Ryan Sparks | Otolaryngology | 515 E Grant St, Suite 113, Macomb, IL 61455-3368 | 2012-09-25 |
| 1326321431 | Bernard Carl Pecaro | Otolaryngology | 383 S Schmale Rd, Carol Stream, IL 60188-2756 | 2011-09-25 |
| Find all providers with the same taxonomy | ||||
| City | SCHAUMBURG |
| Zip Code | 60173 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.