MEDICARE: MIDWEST EAR NOSE & THROAT LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	036053430	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31620670	OTHER	IL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568593754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST EAR NOSE & THROAT LTD

Provider Business Mailing Address
First Line	:	3 E HURON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3838
Country	:	US
Telephone Number	:	312-988-7777
Fax Number	:	312-988-7838

Provider Business Practice Location Address
First Line	:	3 E HURON ST
Second Line	:	1ST FLOOR
City	:	CHICAGO
State	:	IL
Zip	:	60611-3838
Country	:	US
Telephone Number	:	312-988-7777
Fax Number	:	312-988-7838

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GORDON J. SIEGEL
Credential	:	M.D.
Telephone Number	:	312-988-7777

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	06/04/2009

Similar Medicare Providers

1083421341 — DR. SHENDY NG CEN AUD
Practice Location Address:

3 E HURON ST
CHICAGO, IL
60611-3838

Practice Phone: 312-988-7777
Practice Fax:

1497617484 — MOON CYCLE MAMA DOULA AND WELLNESS
Practice Location Address:

3838 W 111TH ST
CHICAGO, IL
60655-4095

Practice Phone: 773-234-2260
Practice Fax:

1013954999 — MENSUR O. SUNJE M.D. M.SC.
Practice Location Address:

2333 W IRVING PARK RD
CHICAGO, IL
60618-3838

Practice Phone: 773-506-7340
Practice Fax: 773-506-7341

1841372208 — DAVID B BAPTIST DDS PC
Practice Location Address:

3838 W 111TH ST , SUITE 111
CHICAGO, IL
60655-4095

Practice Phone: 773-233-1249
Practice Fax: 773-233-6771

1013077346 — DR. SARITA GOYAL
Practice Location Address:

1920 N SAYRE AVE
CHICAGO, IL
60707-3838

Practice Phone: 773-745-7305
Practice Fax:

1124215272 — MIKELSON & MIKELSON P.C.
Practice Location Address:

3838 W 111TH ST STE 105
CHICAGO, IL
60655-4042

Practice Phone: 773-233-6300
Practice Fax:

Directions to “MIDWEST EAR NOSE & THROAT LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.