Organization · Type 2 NPI

Peoria Ear, Nose and Throat Group, S.c.

Otolaryngology Physician · Peoria, IL

NPI number 1952380628 Active

Practice location

7301 N Knoxville Ave
Peoria, IL 61614-2017

Fax (309) 689-0312

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician 207K00000XNone listed
Otolaryngology Physician Primary 207Y00000X042000742 (IL)
Physical Therapist 225100000XNone listed
Audiologist 231H00000XNone listed
Hearing Instrument Specialist 237700000XNone 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 1952380628

Peoria Ear, Nose and Throat Group, S.c.'s National Provider Identifier is 1952380628, issued on Jan 11, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Peoria, IL. The record was last updated on Sep 17, 2026.