| NPI | 1366814121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOSE OSHIN Billing Manager 847-278-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IL 03612239) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2017-02-15 |