OrganizationActive
Ent & Sleep Medicine Associates LLC
NPI 1376853994 · Otolaryngology Physician · Columbia, IL
Provider details
- NPI number
- 1376853994
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelli Blagg, Business Manager(618) 628-0715
- License
- 036101869 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Eleven S Ste 4f
Columbia, IL 62236-1080
Phone: (618) 628-0715
Fax: (888) 371-4468
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Eleven S Ste 4f
Columbia, IL 62236-1080
Additional practice locations (2)
- 1926 Edwardsville Club Plaza CtEdwardsville, IL 62025-3717Phone: (618) 628-0715Fax: (888) 371-4468
- 1179 Fortune BlvdShiloh, IL 62269-7377Phone: (618) 628-0715Fax: (888) 371-4468
Registry dates
- Enumerated
- 2010-10-16
- Last updated
- 2020-11-03
- Certified
- 2020-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.