Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ear, Nose & Throat Institute of Southern Illinois Ltd

Organization Otolaryngology Physician · NPI 1093936395

Ear, Nose & Throat Institute of Southern Illinois Ltd is an Otolaryngology Physician in Columbia, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4325 Ee Rd Ste 205
Columbia, IL 62236-3445
Phone: (618) 235-3687
Fax: (618) 239-9492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X (IL)

Record details

NPI number1093936395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Lee — Secretary · (618) 235-3687
NPI enumeratedMay 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address19 Wolf Creek Dr, Swansea, IL 62226-2355

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