Peoria Ear Nose and Throat Group Sc

NPI #1952380628 in Peoria, Illinois

Provider Information

NPI Number: 1952380628
Entity Type: Organization
Organization Name: Peoria Ear Nose and Throat Group Sc
Primary Specialty: Otolaryngology
Enumeration Date: Jan 11, 2006
Last Updated: Jul 22, 2025

Practice Location

Address: 7301 N KNOXVILLE AVE
City: Peoria
State: Illinois
ZIP Code: 61614-2017
Phone: (309) 589-5900

Authorized Official

Name: TYLER ROBERTSON
Title: CEO
Phone: (309) 202-0462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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