Suburban Ear,nose & Throat Assoc., Ltd.
NPI #1427148329 in Rolling Meadows, Illinois
Provider Information
- NPI Number
- 1427148329
- Entity Type
- Organization
- Organization Name
- Suburban Ear,nose & Throat Assoc., Ltd.
- Primary Specialty
- Otolaryngology
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Nov 17, 2022
Practice Location
- Address
- 5999 NEW WILKE RD BLDG 1
- City
- Rolling Meadows
- State
- Illinois
- ZIP Code
- 60008-4506
- Phone
- (847) 259-2530
Authorized Official
- Name
- LON J PETCHENIK, MD
- Title
- PRESIDENT
- Phone
- (847) 259-2530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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