PEORIA EAR NOSE AND THROAT GROUP SC
Organization (NPI-2)
Active
Otolaryngology
Provider Information
- NPI Number
1952380628- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7301 N KNOXVILLE AVE, PEORIA, IL, 616142017
- Phone
- (309) 589-5900
- Fax
- (309) 689-0312
Specialties & Taxonomies
Otolaryngology
Primary License: IL #042000742