| NPI | 1962063776 |
|---|---|
| Doing Business As | EAR, NOSE & THROAT CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON G CUNDIFF President 815-355-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2019-06-23 |
| Last Update Date | 2020-02-27 |