Ear, Nose & Throat Institute of Southern Illinois Ltd.

NPI #1194825174 in Swansea, Illinois

Provider Information

NPI Number: 1194825174
Entity Type: Organization
Organization Name: Ear, Nose & Throat Institute of Southern Illinois Ltd.
Primary Specialty: Otolaryngology
Enumeration Date: Sep 22, 2006
Last Updated: Jun 30, 2008

Practice Location

Address: 19 WOLF CREEK DR
City: Swansea
State: Illinois
ZIP Code: 62226-2355
Phone: (618) 235-3687

Authorized Official

Name: DR. MURRAY DANIEL MCGRADY, M.D.
Title: PRESIDENT
Phone: (618) 235-3687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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