SUBURBAN OTOLARYNGOLOGY,S.C.

BERWYN, IL
NPI1821204082
Entity TypeOrganization
Authorized ContactLARRY L BAILEY
President
708-749-3070
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: IL  0040148033)
Enumeration Date2007-05-15
Last Update Date2007-12-13
Business Address
SUBURBAN OTOLARYNGOLOGY,S.C.
3340 OAK PARK AVE
BERWYN, IL 60402-3420
Phone number: 708-749-3070
Mailing Address
SUBURBAN OTOLARYNGOLOGY,S.C.
3340 OAK PARK AVE
BERWYN, IL 60402-3420
Phone number: 708-749-3070