Organization
EAR, NOSE & THROAT INSTITUTE OF SOUTHERN ILLINOIS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL W LEE II MD (SECRETARY)
(618) 235-3687
Entity
Organization
Contact information
Practice address
1520 9TH ST, SUITE 110, HIGHLAND, IL 62249-1677
(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
—
IL
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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