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1619012010
AFFILIATED EAR, NOSE AND THROAT PHYSICIANS
INGLESIDE, IL
NPI
1619012010
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Entity Type
Organization
Authorized Contact
FAY WILSON
Practice Manager
815-338-4600
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2007-02-21
Last Update Date
2008-06-16
Business Address
AFFILIATED EAR, NOSE AND THROAT PHYSICIANS
214 WASHINGTON ST
INGLESIDE, IL 60041-9208
Phone number: 847-587-4700
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Mailing Address
AFFILIATED EAR, NOSE AND THROAT PHYSICIANS
2441 LAKE SHORE DR
WOODSTOCK, IL 60098-6911
Phone number: 815-338-4600
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