Midwest Ear Nose & Throat Associates S.c.

NPI #1427085620 in Peoria, Illinois

Provider Information

NPI Number: 1427085620
Entity Type: Organization
Organization Name: Midwest Ear Nose & Throat Associates S.c.
Primary Specialty: Otolaryngology
Enumeration Date: Jun 26, 2006
Last Updated: Apr 27, 2012

Practice Location

Address: 8600 N STATE RT 91
Address 2: STE 300
City: Peoria
State: Illinois
ZIP Code: 61615
Phone: (309) 691-6616

Authorized Official

Name: MRS. JAN L GOLD
Title: OFFICE ADMINISTRATOR
Phone: (309) 691-6359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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