Ent Surgical Associates

NPI #1093753550 in Joliet, Illinois

Provider Information

NPI Number: 1093753550
Entity Type: Organization
Organization Name: Ent Surgical Associates
Primary Specialty: Otolaryngology
Enumeration Date: Jun 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3077 W JEFFERSON ST
Address 2: SUITE 206
City: Joliet
State: Illinois
ZIP Code: 60435-5262
Phone: (815) 744-2500

Authorized Official

Name: DR. KENNETH PAUL JESUNAS, M.D.
Title: PRESIDENT
Phone: (815) 744-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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