Organization · Type 2 NPI

Suburban Otolaryngology,s.c.

Specialist · Berwyn, IL

NPI number 1821204082 Active

Practice location

3340 Oak Park Ave
Berwyn, IL 60402-3420

Call (708) 749-3070 Map

Fax (708) 749-3410

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0040148033 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1821204082

Suburban Otolaryngology,s.c.'s National Provider Identifier is 1821204082, issued on May 15, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Berwyn, IL. The record was last updated on Dec 13, 2007.