Provider Demographics
NPI:1013933928
Name:ILLINOIS SINUS CENTER ENT ASSOCIATES SC
Entity Type:Organization
Organization Name:ILLINOIS SINUS CENTER ENT ASSOCIATES SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKRZYPCZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-882-5888
Mailing Address - Street 1:1375 E WOODFIELD RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5423
Mailing Address - Country:US
Mailing Address - Phone:847-882-5888
Mailing Address - Fax:847-882-5951
Practice Address - Street 1:1375 E WOODFIELD RD STE 120
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5423
Practice Address - Country:US
Practice Address - Phone:847-882-5888
Practice Address - Fax:847-882-5951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty