Midwest Ent Alliance Pllc

NPI #1588449458 in Orland Park, Illinois

Provider Information

NPI Number: 1588449458
Entity Type: Organization
Organization Name: Midwest Ent Alliance Pllc
Primary Specialty: Otolaryngology
Enumeration Date: Aug 29, 2023
Last Updated: Aug 29, 2023

Practice Location

Address: 16001 108TH AVE
City: Orland Park
State: Illinois
ZIP Code: 60467-8788
Phone: (708) 460-0007

Authorized Official

Name: NIRAV THAKKAR, MD
Title: AUTHORIZED OFFICIAL
Phone: (708) 460-0007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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