Organization
NORTHERN ILLINOIS ENT SPECIALISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MICHAEL SCIANNA MD (PRESIDENT)
(815) 758-8106
Entity
Organization
Contact information
Practice address
2127 MIDLANDS CT, SUITE 203, SYCAMORE, IL 60178-3173
(815) 758-8106
(815) 758-8108
Mailing address
2127 MIDLANDS CT, SUITE 203, SYCAMORE, IL 60178-3173
(815) 758-8106
(815) 758-8108
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036110856
IL
Other
Enumeration date
01/03/2008
Last updated
01/27/2019
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