Organization
EAR NOSE THROAT AND ALLERGY CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARKADIUSH T BYSKOSH M.D. (OWNER)
(630) 208-4700
Entity
Organization
Contact information
Practice address
302 RANDALL RD, SUITE 302, GENEVA, IL 60134-4209
(630) 208-4700
Mailing address
302 RANDALL RD, SUITE 302, GENEVA, IL 60134-4209
(630) 208-4700
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
IL
Other
Enumeration date
02/11/2007
Last updated
02/06/2008
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