National Provider Identifier Database

PARKVIEW EAR NOSE THROAT CLINIC SC
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

PARKVIEW EAR, NOSE & THROAT CLINIC, S.C.
112 PARK RIDGE LN
PEKIN, IL61554-3900
Phone: 309-347-5946
Fax: 309-347-2755
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for PARKVIEW EAR, NOSE & THROAT CLINIC, S.C.

NPI Number 1942310081
Legal business name
LBN
PARKVIEW EAR, NOSE & THROAT CLINIC, S.C.
Authorized official JANA PODZIMEK - (PRESIDENT / OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Other: 9032056 BLUE SHEILD PROVIDER #
  • IL Other: IL101 JOHN DEERE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PARKVIEW EAR, NOSE & THROAT CLINIC, S.C.

There are currently no reviews for PARKVIEW EAR, NOSE & THROAT CLINIC, S.C.


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