Organization
EAR, NOSE AND THROAT CENTER S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS EIZIS (PRACTICE ADMINISTRATOR)
(847) 685-1000
Entity
Organization
Contact information
Practice address
1875 DEMPSTER ST, SUITE 301, PARK RIDGE, IL 60068-1186
(847) 685-1000
Mailing address
1875 DEMPSTER ST, SUITE 301, PARK RIDGE, IL 60068-1186
(847) 685-1000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
09/10/2009
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