EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD. (NPI# 1194825174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194825174 |
| Entity Type | Organization |
| Organization Name | EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD. |
| Practice Address |
19 Wolf Creek Dr Swansea IL 62226-2355 |
| Practice Telephone | 6182353687 |
| Practice Fax Number | 6182399492 |
| Mailing Telephone | 6182353687 |
| Mailing Fax Number | 6182399492 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | DR. MURRAY DANIEL MCGRADY (PRESIDENT) |
| Authorized Official Telephone | 6182353687 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 042.000860 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093936395 | Ear, Nose & Throat Institute of Southern Illinois Ltd. | Otolaryngology | 4325 Ee Rd, Suite 205, Columbia, IL 62236-3445 | 2007-05-02 |
| 1235359902 | Ear, Nose & Throat Institute of Southern Illinois Ltd. | Otolaryngology | 1520 9th St, Suite 110, Highland, IL 62249-1677 | 2007-04-26 |
| Street Address |
19 WOLF CREEK DR |
| City | SWANSEA |
| State | IL |
| Zip Code | 62226-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203617 | Murray D Mcgrady | Otolaryngology | 19 Wolf Creek Dr, Dept Otolaryngology, Swansea, IL 62226-2355 | 2005-05-24 |
| 1871132449 | Washington University Physicians In Illinois, Inc | Clinic/Center | 19 Wolf Creek Dr, Swansea, IL 62226-2355 | 2019-12-31 |
| 1982122719 | Samantha M Menezes | Audiologist | 19 Wolf Creek Dr, Dept Otolaryngology, Swansea, IL 62226-2355 | 2017-08-31 |
| 1639532609 | Angela L Long | Nurse Practitioner | 19 Wolf Creek Dr, Dept Otolaryngology, Swansea, IL 62226-2355 | 2016-03-29 |
| 1265755649 | Shanna Lea Moshure | Audiologist | 19 Wolf Creek Dr, Dept Otolaryngology, Swansea, IL 62226-2355 | 2010-03-12 |
| 1235319245 | Susan D Hamilton | Audiologist | 19 Wolf Creek Dr, Swansea, IL 62226-2355 | 2007-11-07 |
| 1033131164 | Dawn Marie Roulanaitis | Audiologist | 19 Wolf Creek Dr, Swansea, IL 62226-2355 | 2006-07-25 |
| 1689697187 | Brandy R Wojciuch | Audiologist | 19 Wolf Creek Dr, Swansea, IL 62226-2355 | 2006-07-25 |
| 1649273319 | Carl Wesley Lee II | Otolaryngology | 19 Wolf Creek Dr, Dept Otolaryngology, Swansea, IL 62226-2355 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203617 | Murray D Mcgrady | Otolaryngology | 19 Wolf Creek Dr, Dept Otolaryngology, Swansea, IL 62226-2355 | 2005-05-24 |
| 1649273319 | Carl Wesley Lee II | Otolaryngology | 19 Wolf Creek Dr, Dept Otolaryngology, Swansea, IL 62226-2355 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841838109 | Ryan C. Vaughn, Md Pllc | Otolaryngology | 1900 E Golf Rd Ste L125, Schaumburg, IL 60173-5831 | 2019-12-18 |
| 1265074934 | Toriumi Facial Plastics Pllc | Otolaryngology | 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 | 2019-10-14 |
| 1184281735 | Advanced Ear Nose & Throat Specialists, Pllc | Otolaryngology | 925 N Milwaukee Ave Unit 200, Vernon Hills, IL 60061-1637 | 2019-05-20 |
| 1780144402 | Veronica Maria Drozdowski | Otolaryngology | 2160 S 1st Ave Rm 1870, Maywood, IL 60153-3328 | 2019-03-20 |
| 1205395019 | Brian Yuhan | Otolaryngology | 2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328 | 2019-03-19 |
| 1285100529 | Lauren E Lesniewski | Otolaryngology | 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 | 2018-10-14 |
| 1982100525 | Muyinat Yewande Osoba | Otolaryngology | 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 | 2018-04-03 |
| 1851811343 | Peter S Dumich | Otolaryngology | 2609 S Nottingham Ct, Champaign, IL 61821-6182 | 2017-06-26 |
| 1104354414 | Sara M. Wing | Otolaryngology | 301 N 8th St Ste 5b, Springfield, IL 62701-1041 | 2017-05-31 |
| 1750734778 | Darius Bliznikas Md Sc | Otolaryngology | 7110 W 127th St Ste 210, Palos Heights, IL 60463-1580 | 2016-07-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD..
| 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.