Peoria Ear Nose And Throat Group Sc

LBN: Peoria Ear Nose And Throat Group Sc
Peoria Ear Nose And Throat Group Sc is an health care organization with primary practice located at 7301 N Knoxville Ave , Peoria IL 61614-2017. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Peoria Ear Nose And Throat Group Sc can be contacted via phone (309) 589-5900, or through Robertson, Tyler via phone (309) 589-8051.

Contact Information

Primary practice address
7301 N Knoxville Ave Peoria IL 61614-2017
Phone: (309) 589-5900
Fax: (309) 683-4120
Website:
Map and Directions
Authorized official contact:
Name: Robertson, Tyler
Phone: (309) 589-8051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 042000742 Illinois

Profile Details

NPI number 1952380628
LBN Legal business name Peoria Ear Nose And Throat Group Sc
DBA Doing business as
Authorized official Robertson, Tyler
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2006
Last updated Dec 4th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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