Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Dougherty, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437786407

Michael Dougherty, MD is an Otolaryngology in Park Ridge, Illinois. Graduated from University of Virginia School of Medicine in 2020, 6 years ago. Practices with Midwest ENT Alliance PLLC, a 97-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Trained at
University of Virginia School of Medicine
Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2604 Dempster St Ste 501
Park Ridge, IL 60068-8429
Phone: (847) 674-5585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 — (503) 494-8211

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 036.175584 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1437786407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address2604 Dempster St Ste 501, Park Ridge, IL 60068-8429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Midwest Ent Alliance Pllc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Park Ridge