Midwest Sinus Sleep & Allergy Associates, LLC

NPI #1962000513 in Mount Vernon, Illinois

Provider Information

NPI Number: 1962000513
Entity Type: Organization
Organization Name: Midwest Sinus Sleep & Allergy Associates, LLC
Primary Specialty: Otolaryngology
Enumeration Date: Oct 15, 2020
Last Updated: Jan 4, 2021

Practice Location

Address: 4224 LINCOLNSHIRE DR STE B
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2156
Phone: (618) 816-0715

Authorized Official

Name: KELLI BLAGG
Title: OFFICE MANAGER
Phone: (618) 628-0715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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