Organization
EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MURRAY DANIEL MCGRADY M.D. (PRESIDENT)
(618) 235-3687
Entity
Organization
Contact information
Practice address
19 WOLF CREEK DR, SWANSEA, IL 62226-2355
(618) 235-3687
(618) 239-9492
Mailing address
19 WOLF CREEK DR, SWANSEA, IL 62226-2355
(618) 235-3687
(618) 239-9492
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
042.000860
IL
Other
Enumeration date
09/22/2006
Last updated
06/30/2008
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