Provider Demographics
NPI:1417983933
Name:YORK ENT SURGICAL CONSULTANTS, S.C.
Entity Type:Organization
Organization Name:YORK ENT SURGICAL CONSULTANTS, S.C.
Other - Org Name:DOCTORS BULGER, REJOWSKI & DILLON, S.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:REJOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-654-1391
Mailing Address - Street 1:950 N YORK RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2950
Mailing Address - Country:US
Mailing Address - Phone:630-654-1391
Mailing Address - Fax:630-654-1967
Practice Address - Street 1:950 N YORK RD
Practice Address - Street 2:SUITE 109
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8608
Practice Address - Country:US
Practice Address - Phone:630-654-1391
Practice Address - Fax:630-654-1967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL042-006895OtherREGISTERED MEDICAL CORP.