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Contact Information

MIDWEST EAR NOSE & THROAT ASSOCIATES S.C.
8600 N STATE RT 91
STE 300
PEORIA, IL61615
 Phone: 309-691-6616
 Fax: 309-691-2943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MIDWEST EAR NOSE & THROAT ASSOCIATES S.C.

NPI # 1427085620
LBN Legal business name MIDWEST EAR NOSE & THROAT ASSOCIATES S.C.
Authorized official JAN GOLD - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2006
Last updated 04/27/2012 - About 14 years ago
Identifiers n/a
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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