Organization
ASSOCIATED OTOLARYNGOLOGISTS OF DECATUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE MARK SOBOL (ENT DOCTOR)
(217) 876-3372
Entity
Organization
Contact information
Practice address
101 W MCKINLEY AVE, 101W MCKINLEY AVE, DECATUR, IL 62526-3286
(217) 876-3372
(217) 876-3345
Mailing address
PO BOX 2170, 101W MCKINLEY AVE, DECATUR, IL 62524-2170
(217) 876-3372
(217) 876-3345
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
042006194
IL
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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