SOUTHWEST HEAD & NECK SURGICAL ASSOC SC
Organization (NPI-2)
Active
Otolaryngology
Provider Information
- NPI Number
1104094804- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1000 RAVINIA PL, ORLAND PARK, IL, 604623764
- Phone
- (708) 460-6663
- Fax
- (708) 460-6693
Specialties & Taxonomies
Otolaryngology
Primary License: IL #036054754