NPI | 1437334828 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH MICHAEL SCIANNA President 815-758-8106 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036110856) |
Enumeration Date | 2008-01-03 |
Last Update Date | 2019-01-27 |