Ent & Sleep Medicine Associates LLC

NPI #1376853994 in Columbia, Illinois

Provider Information

NPI Number: 1376853994
Entity Type: Organization
Organization Name: Ent & Sleep Medicine Associates LLC
Primary Specialty: Otolaryngology
Enumeration Date: Oct 16, 2010
Last Updated: Nov 3, 2020

Practice Location

Address: 1000 ELEVEN S STE 4F
City: Columbia
State: Illinois
ZIP Code: 62236-1080
Phone: (618) 628-0715

Authorized Official

Name: KELLI BLAGG
Title: BUSINESS MANAGER
Phone: (618) 628-0715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology - Sleep Medicine — Sleep Medicine	207YS0012X
Otolaryngology	207Y00000X	Primary

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