Organization
MCINTEE EAR, NOSE & THROAT, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAE MCINTEE MD (PHYSICIAN)
(217) 224-4687
Entity
Organization
Contact information
Practice address
1132 BROADWAY ST, SUITE 200, QUINCY, IL 62301-2819
(217) 224-4687
Mailing address
2040 W ILES AVE, SUITE C, SPRINGFIELD, IL 62704-4183
(217) 789-0668
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036100190
IL
Other
Enumeration date
11/14/2006
Last updated
07/23/2008
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