Freeport Ear Nose & Throat Associates Ltd

NPI #1568494748 in Freeport, Illinois

Provider Information

NPI Number: 1568494748
Entity Type: Organization
Organization Name: Freeport Ear Nose & Throat Associates Ltd
Primary Specialty: Otolaryngology
Enumeration Date: Jul 7, 2006
Last Updated: Feb 21, 2008

Practice Location

Address: 1030 S KUNKLE BLVD
City: Freeport
State: Illinois
ZIP Code: 61032-6914
Phone: (815) 235-7673

Authorized Official

Name: DR. SHAWN ALLEN SHIANNA, MD
Title: OWNER
Phone: (815) 235-7673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X
Otolaryngology	207Y00000X	Primary

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