Southern Illinois Otolaryngology, Ltd in Belleville - Otolaryngology
Southern Illinois Otolaryngology, Ltd - NPI 1104007111
Southern Illinois Otolaryngology, Ltd is a Otolaryngology in Belleville, Illinois. Southern Illinois Otolaryngology, Ltd practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Southern Illinois Otolaryngology, Ltd is 1104007111. The last update date is 2008-01-07.
Southern Illinois Otolaryngology, Ltd's current location address is 2900 Frank Scott Pkwy W, Belleville, Illinois. You can contact this provider via phone number 6182358082 and fax number 6182357795. The mailing address for Southern Illinois Otolaryngology, Ltd is 2900 Frank Scott Pkwy W, Belleville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Otolaryngology, Ltd |
|---|---|
| Address | 2900 Frank Scott Pkwy W, Belleville, Illinois |
| Phone Number | 6182358082 |
| Fax Number | 6182357795 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dobbs Curtis Larry |
| Credentials | M.D. |
| Telephone Number | 6182358082 |
NPI Number Detail
| NPI Number | 1104007111 |
|---|---|
| Provider Enumeration Date | 2007-11-19 |
| Last Updated Date | 2008-01-07 |
Provider Mailing Address Detail
| Address | 2900 Frank Scott Pkwy W |
|---|---|
| City | Belleville |
| State | Illinois (IL) |
| Post Code | 622235000 |
| Phone Number | 6182358082 |
| Fax Number | 6182357795 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
|
Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 647890 | IL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Southern Illinois Otolaryngology, Ltd by the Centers for Medicare & Medicaid Services?
The Southern Illinois Otolaryngology, Ltd has been assigned the NPI (National Provider Identifier) 1104007111. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Southern Illinois Otolaryngology, Ltd?
The Southern Illinois Otolaryngology, Ltd is physically situated at 2900 Frank Scott Pkwy W, in the city of Belleville, state of IL, with the postal code 622235000.
What is Southern Illinois Otolaryngology, Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Southern Illinois Otolaryngology, Ltd is Otolaryngology, and the corresponding taxonomy classification code for this specialized field is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104007111 to Southern Illinois Otolaryngology, Ltd?
The Southern Illinois Otolaryngology, Ltd received its 1104007111 assignment from the Centers for Medicare & Medicaid Services on 2007-11-19.
As of what date were the details related to Southern Illinois Otolaryngology, Ltd most recently updated or revised?
The information pertaining to Southern Illinois Otolaryngology, Ltd, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-07.
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