Ear, Nose & Throat Institute of Southern Illinois Ltd.

NPI #1093936395 in Columbia, Illinois

Provider Information

NPI Number: 1093936395
Entity Type: Organization
Organization Name: Ear, Nose & Throat Institute of Southern Illinois Ltd.
Primary Specialty: Otolaryngology
Enumeration Date: May 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4325 EE RD
Address 2: SUITE 205
City: Columbia
State: Illinois
ZIP Code: 62236-3445
Phone: (618) 235-3687

Authorized Official

Name: CARL W LEE II, MD
Title: SECRETARY
Phone: (618) 235-3687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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