# PARKVIEW EAR, NOSE & THROAT CLINIC, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942310081
- **Authorized official:** MS. JANA PODZIMEK D.O. (PRESIDENT / OWNER)
- **Authorized official phone:** (309) 347-5946

## Contact information

- **Practice address:** 112 PARK RIDGE LN, PEKIN, IL 61554-3900
- **Practice address phone:** (309) 347-5946
- **Practice address fax:** (309) 347-2755
- **Mailing address:** 112 PARK RIDGE LN, PEKIN, IL 61554-3900
- **Mailing address phone:** (309) 347-5946
- **Mailing address fax:** (309) 347-2755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | IL | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020
