NPI | 1316163926 |
---|---|
Entity Type | Organization |
Authorized Contact | BULENT MAMIKOGLU Physician 815-224-0082 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 336-079161) |
Additional Taxonomies | 207Y00000X Otolaryngology |
207YX0901X Otolaryngology, Otology & Neurotology | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2020-01-22 |