ILLINOIS VALLEY EAR, NOSE & THROAT ASSOCIATES, INC. – NPI #1316163926
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

ILLINOIS VALLEY EAR, NOSE & THROAT ASSOCIATES, INC. is an AHC clinic located in PERU, IL. NPPES has assigned the NPI number 1316163926 to ILLINOIS VALLEY EAR, NOSE & THROAT ASSOCIATES, INC. on April 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 6 years ago on Jan 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ILLINOIS VALLEY EAR, NOSE & THROAT ASSOCIATES, INC. below.

NPI Profile for
ILLINOIS VALLEY EAR, NOSE & THROAT ASSOCIATES, INC.

NPI Number
1316163926
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ILLINOIS VALLEY EAR, NOSE & THROAT ASSOCIATES, INC.
Primary location
4231 PROGRESS BLVD STE 2
PERU, IL 61354-1193
Phone: (815) 224-0082 Fax: (815) 224-1071
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BULENT MAMIKOGLU
PHYSICIAN
Phone: (815) 224-0082
Updated
Certification Date
Jan 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ILLINOIS VALLEY EAR, NOSE & THROAT ASSOCIATES, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036117864-1
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
IL 336-079161
207YX0901X
- Otolaryngology / Otology & Neurotology
207Y00000X
- Otolaryngology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.