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Contact Information

ENT & SLEEP MEDICINE ASSOCIATES LLC
1000 ELEVEN S STE 4F
COLUMBIA, IL62236-1080
 Phone: 618-628-0715
 Fax: 888-371-4468
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ENT & SLEEP MEDICINE ASSOCIATES LLC

NPI Number 1376853994
LBN Legal business name ENT & SLEEP MEDICINE ASSOCIATES LLC
Authorized official KELLI BLAGG - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2010
Last updated 11/03/2020 - About 6 years ago
Identifiers
IL License # 036101869
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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