Illinois Ear, Nose and Throat Associates, P.c

NPI #1184750127 in Granite City, Illinois

Provider Information

NPI Number: 1184750127
Entity Type: Organization
Organization Name: Illinois Ear, Nose and Throat Associates, P.c
Primary Specialty: Otolaryngology
Enumeration Date: Feb 26, 2007
Last Updated: Jul 17, 2008

Practice Location

Address: 2120 MADISON AVE
Address 2: SUITE 200
City: Granite City
State: Illinois
ZIP Code: 62040-4744
Phone: (618) 451-1800

Authorized Official

Name: DR. JEFFREY FIERSTEIN, M.D.
Title: PRESIDENT
Phone: (618) 451-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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