Organization
EAR, NOSE & THROAT SPECIALISTS OF ILLINOIS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WALNER (VICE PRESIDENT)
(847) 674-5585
Entity
Organization
Contact information
Practice address
2604 DEMPSTER ST STE 501, PARK RIDGE, IL 60068-8429
(847) 674-5585
Mailing address
2604 DEMPSTER ST STE 501, PARK RIDGE, IL 60068-8429
(847) 674-5585
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
060-001273
IL
Other
Enumeration date
03/17/2006
Last updated
05/08/2024
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