Organization
MCDONOUGH COUNTY HOSPITAL DISTRICT
Active
Other names
MDH Ear Nose and Throat
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY BOYD JR. (CEO)
(309) 833-4101
Entity
Organization
Contact information
Practice address
515 E GRANT ST, MACOMB, IL 61455-3368
(309) 833-6937
Mailing address
515 E GRANT ST, MACOMB, IL 61455-3368
(309) 833-6937
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0001438
IL
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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