Ear, Nose & Throat Institute Of Southern Illinois Ltd.

NPI 1093936395 - Otolaryngology - 207Y00000X

NPI Details
NPI 1093936395
Enumeration Date 05/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARL W CARL
Position SECRETARY
Phone (618) 235-3687
Fax (618) 239-9492
Practice Location
4325 EE RD
SUITE 205
COLUMBIA IL, 62236-3445, US
Phone (618) 235-3687
Fax (618) 239-9492
Business Location
19 WOLF CREEK DR
SWANSEA IL, 62226-2355, US
Phone (618) 235-3687
Fax (618) 239-9492
Toxanomy
Taxonomy Code 207Y00000X
License State
License Number
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According to our database, Ear, Nose & Throat Institute Of Southern Illinois Ltd. NPI is 1093936395, taxonomy code is 207Y00000X Ear, Nose & Throat Institute Of Southern Illinois Ltd. physically located at 4325 Ee Rd, Columbia IL, 62236-3445. NPI Number 1033115704 has the healthcare provider type.

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1093936395 NPI number is provided on an as is basis without warranty of any kind. 1093936395 is maintained by the National Plan & Provider Enumeration System. The contents of Ear, Nose & Throat Institute Of Southern Illinois Ltd. are for informational purposes only.