Illinois Valley Ear, Nose & Throat Associates, Inc
Illinois Valley Ear, Nose & Throat Associates, Inc is an Otolaryngology Physician in Peru, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4231 Progress Blvd Ste 2Peru, IL 61354-1193
Phone: (815) 224-0082
Fax: (815) 224-1071
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 336-079161 (IL) |
|---|---|
| Otolaryngology Physician | Taxonomy 207Y00000X |
| Otology & Neurotology Physician | Taxonomy 207YX0901X |
Record details
| NPI number | 1316163926 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bulent Mamikoglu — Physician · (815) 224-0082 |
| NPI enumerated | April 18, 2007 |
| Last updated in NPPES | January 22, 2020 |
| Certification date | January 22, 2020 |
| Mailing address | 4231 Progress Blvd Ste 2, Peru, IL 61354-1193 |