Organization
OTOLARYNGOLOGY GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY P SCHONBERG M.D. (PRESIDENT)
(847) 729-9122
Entity
Organization
Contact information
Practice address
3633 W LAKE AVE, SUITE 300, GLENVIEW, IL 60026-5805
(847) 729-9122
(847) 729-9134
Mailing address
3633 W LAKE AVE, SUITE 300, GLENVIEW, IL 60026-5805
(847) 729-9122
(847) 729-9134
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615422
BCBS
IL
Enumeration date
07/28/2006
Last updated
08/22/2020
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