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1235359902
EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD.
HIGHLAND, IL
NPI
1235359902
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Entity Type
Organization
Authorized Contact
CARL W LEE
Secretary
618-235-3687
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: IL 036095348)
Enumeration Date
2007-04-26
Last Update Date
2020-08-22
Business Address
EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD.
1520 9TH ST SUITE 110
HIGHLAND, IL 62249-1677
Phone number: 618-235-3687
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Mailing Address
EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD.
19 WOLF CREEK DR
SWANSEA, IL 62226-2355
Phone number: 618-235-3687
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