MCDONOUGH COUNTY HOSPITAL DISTRICT (NPI# 1881032985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881032985 |
| Entity Type | Organization |
| Organization Name | MCDONOUGH COUNTY HOSPITAL DISTRICT |
| Other Organization Name | MDH EAR NOSE AND THROAT |
| Practice Address |
515 E Grant St Macomb IL 61455-3368 |
| Practice Telephone | 3098336937 |
| Mailing Telephone | 3098336937 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |
| Authorized Official Name | KENNY BOYD JR. (CEO) |
| Authorized Official Telephone | 3098334101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 0001438 | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MDH Ear Nose and Throat | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841386190 | Mcdonough County Hospital District | Skilled Nursing Facility | 525 E. Grant, Macomb, IL 61455-3313 | 2006-10-05 |
| 1770100414 | Mcdonough County Hospital District | Clinic/Center | 505 E Grant St Ste 202, Macomb, IL 61455-3373 | 2020-06-29 |
| 1235755372 | Mcdonough County Hospital District | Clinic/Center | 515 E Grant St Ste 213, Macomb, IL 61455-3378 | 2020-06-24 |
| 1780192013 | Mcdonough County Hospital District | Podiatrist | 437 E Grant St, Macomb, IL 61455-3311 | 2018-01-22 |
| 1770974909 | Mcdonough County Hospital District | Psychiatric Unit | 525 E Grant St, Macomb, IL 61455-3313 | 2015-02-10 |
| 1851705370 | Mcdonough County Hospital District | General Acute Care Hospital | 525 E Grant St, Macomb, IL 61455-3313 | 2014-06-12 |
| 1992041511 | Mcdonough County Hospital District | Family Medicine | 155 W Hail St, Bushnell, IL 61422-1346 | 2012-12-31 |
| 1356698310 | Mcdonough County Hospital District | Pediatrics | 505 E Grant St, Suite 202, Macomb, IL 61455-3352 | 2012-08-09 |
| 1093083511 | Mcdonough County Hospital District | Orthopaedic Surgery | 503 E Grant St, Macomb, IL 61455-3313 | 2011-12-12 |
| 1336436765 | Mcdonough County Hospital District | Clinic/Center | 1600 E Jackson St, Macomb, IL 61455-2530 | 2011-07-06 |
| Street Address |
515 E GRANT ST |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-3368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922044 | Khaled A Dabash | Pediatrics | 515 E Grant St, Macomb, IL 61455-3368 | 2005-06-16 |
| 1578194965 | Brittany Ann Cromer | Registered Nurse | 515 E Grant St, Suite 213, Macomb, IL 61455 | 2020-02-04 |
| 1407300627 | Kamie Dee Mckee | Nurse Practitioner | 515 E Grant St, Suite 113, Macomb, IL 61455-3368 | 2016-08-04 |
| 1780935197 | Jeffrey Ryan Sparks | Otolaryngology | 515 E Grant St, Suite 113, Macomb, IL 61455-3368 | 2012-09-25 |
| 1245526680 | Weili Zhang | Family Medicine | 515 E Grant St, Suite 213, Macomb, IL 61455-3368 | 2011-06-23 |
| 1568789618 | Mcdonough County Hospital District | Family Medicine | 515 E Grant St, Macomb, IL 61455-3368 | 2010-04-29 |
| 1235383951 | Mcdonough County Hospital District | Surgery | 515 E Grant St, Suite 211, Macomb, IL 61455-3368 | 2008-11-07 |
| 1255504627 | James Joseph Gonzales | Surgery | 515 E Grant St, Ste 211, Macomb, IL 61455-3368 | 2008-04-08 |
| 1568519809 | Robyn Alley-hay, M.d. Woman To Woman | Obstetrics & Gynecology | 515 E Grant St, Suite 112, Macomb, IL 61455-3368 | 2007-01-05 |
| 1194750950 | Ronald E Whitley | Surgery | 515 E Grant St, Suite 211, Macomb, IL 61455-3368 | 2006-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
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| 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 |
|---|---|---|---|---|
| 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 |
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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.