Organization · Type 2 NPI

Southern Illinois Otolaryngology, Ltd

Otolaryngology Physician · Belleville, IL

NPI number 1104007111 Active

Practice location

2900 Frank Scott Pkwy W, Suite 930
Belleville, IL 62223-5000

Fax (618) 235-7955

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1104007111

Southern Illinois Otolaryngology, Ltd's National Provider Identifier is 1104007111, issued on Nov 19, 2007. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Belleville, IL. The record was last updated on Jan 7, 2008.