ILLINOIS EAR, NOSE AND THROAT ASSOCIATES, P.C
Organization (NPI-2)
Active
Otolaryngology
Provider Information
- NPI Number
1184750127- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2120 MADISON AVE SUITE 200, GRANITE CITY, IL, 620404744
- Phone
- (618) 451-1800
- Fax
- (618) 451-1526
Specialties & Taxonomies
Otolaryngology
Primary License: IL #060002662