Organization
WEST SUBURBAN HEAD AND NECK SPECIALISTS,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA J RYAN (OFFICE MANAGER)
(708) 345-5549
Entity
Organization
Contact information
Practice address
1111 SUPERIOR ST, SUITE 411, MELROSE PARK, IL 60160-4138
(708) 345-5549
(708) 345-5589
Mailing address
1111 SUPERIOR ST, SUITE 411, MELROSE PARK, IL 60160-4138
(708) 345-5549
(708) 345-5589
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622862
GROUP NUMBER
IL
Enumeration date
08/30/2006
Last updated
09/11/2025
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