Organization
ENT SURGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK JOSEPH WHITE CCC-A (AUDIOLOGIST)
(815) 725-1191
Entity
Organization
Contact information
Practice address
2201 GLENWOOD AVE, JOLIET, IL 60435-5574
(815) 725-1191
(815) 725-2048
Mailing address
2201 GLENWOOD AVE, JOLIET, IL 60435-5574
(815) 725-1191
(815) 725-2048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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