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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 Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

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

NPI Number 1942310081
LBN Legal business name PARKVIEW EAR, NOSE & THROAT CLINIC, S.C.
Authorized official JANA PODZIMEK - (PRESIDENT / OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL Other 9032056 BLUE SHEILD PROVIDER #
IL Other IL101 JOHN DEERE
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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