Suburban Otolaryngology,s.c.

NPI #1821204082 in Berwyn, Illinois

Provider Information

NPI Number
1821204082
Entity Type
Organization
Organization Name
Suburban Otolaryngology,s.c.
Primary Specialty
Specialist
Enumeration Date
May 15, 2007
Last Updated
Dec 13, 2007

Practice Location

Address
3340 OAK PARK AVE
City
Berwyn
ZIP Code
60402-3420
Phone
(708) 749-3070

Authorized Official

Name
LARRY L BAILEY, MD
Title
PRESIDENT
Phone
(708) 749-3070

Specialties & Taxonomy Codes

Specialty
Specialist

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