DR. JORDAN TEITELBAUM (NPI# 1518374784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518374784 |
| Entity Type | Individual |
| Full Name | DR. JORDAN TEITELBAUM |
| Credential | D.O. |
| Practice Address |
8780 W Golf Rd Ste 200 Niles IL 60714-5611 |
| Practice Telephone | 8476745585 |
| Practice Fax Number | 8478241698 |
| Mailing Telephone | 8476745585 |
| Mailing Fax Number | 8478241698 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 036.152684 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5100 W Broad St, Columbus, OH 432281607 | 6145442090 |
| Street Address |
8780 W GOLF RD STE 200 |
| City | NILES |
| State | IL |
| Zip Code | 60714-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427246362 | Merle Ann Nathan | Audiologist-Hearing Aid Fitter | 8780 W Golf Rd Ste 200, Niles, IL 60714-5611 | 2007-10-04 |
| 1104476506 | Lauren Olivia Kelly | Audiologist | 8780 W Golf Rd Ste 200, Niles, IL 60714-5611 | 2019-09-17 |
| 1558550475 | Sivan Blonz | Audiologist-Hearing Aid Fitter | 8780 W Golf Rd Ste 200, Niles, IL 60714-5611 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992277347 | Superior Nursing Services LLC | Registered Nurse | 8852 N. Milwaukee Ave, Niles, IL 60714 | 2018-12-26 |
| 1669904124 | Ralph N. Robbins D.d.s., Ltd. | Dentist | 241 Golf Mill Prof. Bldg. Suite 905, Niles, IL 60714 | 2017-04-03 |
| 1962947010 | The Thresholds | Community/Behavioral Health | 8842 Prospect Ave, Niles, IL 60714 | 2016-12-28 |
| 1548632367 | Kristine Pallarca | Pharmacist | 9000 W. Golf Rd, Niles, IL 60714 | 2015-10-21 |
| 1326421082 | Zuber Koya | Optometrist | 5762 W Touhy Ave, Niles, IL 60714 | 2015-06-30 |
| 1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
| 1184039430 | Care Plus Outpatient Therapy Inc. | Occupational Therapy Assistant | 8118 N Milwaukee Ave Ste 107, Niles, IL 60714 | 2014-06-25 |
| 1750704888 | Daniel Charles Smith | Social Worker | 241golf Mill Center Suite 708, Niles, IL 60714 | 2014-01-24 |
| 1285062356 | Benjamin Trukman | Physical Therapist | 8269 West Golf Rd, Niles, IL 60714 | 2013-10-28 |
| 1750643698 | Matthew James Howard | Pediatrics | 6450 W Touhy Ave, Niles, IL 60714 | 2012-06-15 |
| Find all providers in zip 60714 | ||||
| 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 |
|---|---|---|---|---|
| 1467767855 | Martin Emil Anderson Jr. | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2010-08-10 |
| 1861684334 | Katherine Koepke Hamming | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2007-08-17 |
| 1285626606 | Robert M Meyers | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2005-08-22 |
| 1841282126 | Nicholas A. Lygizos | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2005-08-22 |
| 1356333637 | Francis A. Casper | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2005-08-22 |
| 1063404358 | Gregory S. Bussell | Otolaryngology | 8780 W Golf Rd, Suite 200, Niles, IL 60714-5602 | 2005-08-22 |
| 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 | ||||
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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.