Midwest Ent Alliance Pllc

NPI #1114781309 in Lemont, Illinois

Provider Information

NPI Number: 1114781309
Entity Type: Organization
Organization Name: Midwest Ent Alliance Pllc
Primary Specialty: Otolaryngology
Enumeration Date: Feb 8, 2024
Last Updated: Feb 8, 2024

Practice Location

Address: 15884 W 127TH ST
City: Lemont
State: Illinois
ZIP Code: 60439-7422
Phone: (708) 460-0007

Authorized Official

Name: NIRAV THAKKAR, MD
Title: AUTHORIZED OFFICIAL
Phone: (708) 460-0007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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