FREEPORT EAR NOSE & THROAT ASSOCIATES LTD

FREEPORT, IL
NPI1568494748
Entity TypeOrganization
Authorized ContactSHAWN ALLEN SHIANNA
Owner
815-235-7673
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: IL  036-078478)
Additional Taxonomies231H00000X Audiologist
(Licence: IL  147000937)
Enumeration Date2006-07-07
Last Update Date2008-02-21
Business Address
FREEPORT EAR NOSE & THROAT ASSOCIATES LTD
1030 S KUNKLE BLVD
FREEPORT, IL 61032-6914
Phone number: 815-235-7673
Mailing Address
FREEPORT EAR NOSE & THROAT ASSOCIATES LTD
1030 S KUNKLE BLVD
FREEPORT, IL 61032-6914
Phone number: 815-235-7673
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SHAWN ALLEN SHIANNA