Dr. Jonathan Benjamin Ida
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
225 E Chicago Ave # 25
Chicago
, Illinois 60611-2991
Dr. Jonathan Benjamin Ida
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
225 E Chicago Ave # 25
Chicago
, Illinois 60611-2991
(312) 227-9414
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Jonathan Benjamin Ida
- 225 E Chicago Ave # 25
- Chicago, IL
- Zip : 60611-2991
- Fax : (312) 227-9414
- Phone : (312) 227-6234
Second Address
- Dr. Jonathan Benjamin Ida
- 225 E Chicago Ave # 25
- Chicago, IL
- Zip : 60611-2991
- Fax : (312) 227-9414
- Phone : (312) 227-6234
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD.200263 | LA |
| Y | 207YP0228X | Pediatric Otolaryngology | 1801070370 | IL |
| N | 207YP0228X | Pediatric Otolaryngology | 35.094270 | OH |
National Provider Identifier
| NPI | 1801070370 |
|---|---|
| Provider Name | Dr. Jonathan Benjamin Ida |
| First Address | Chicago, IL 60611-2991 |
| Second Address | Chicago, IL 60611-2991 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2007 |
| Last Update Date | 06/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.