Midwest Ear Nose & Throat Associates SC
Midwest Ear Nose & Throat Associates SC is an Otolaryngology Physician in Peoria, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
8600 N State Rt 91 Ste 300Peoria, IL 61615
Phone: (309) 691-6616
Fax: (309) 691-2943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X |
|---|
Record details
| NPI number | 1427085620 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jan Gold — Office Administrator · (309) 691-6359 |
| NPI enumerated | June 26, 2006 |
| Last updated in NPPES | April 27, 2012 |
| Mailing address | 8600 N State Route 91, Ste 300, Peoria, IL 61615-9541 |
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