Provider Type Icon

MIDWEST EAR NOSE & THROAT ASSOCIATES S.C. NPI 1427085620


NPI Information

NPI: 1427085620
Provider Name: MIDWEST EAR NOSE & THROAT ASSOCIATES S.C.
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
8600 N STATE RT 91
STE 300
PEORIA, IL
ZIP 61615
Phone: (309) 691-6616
Get Directions

MIDWEST EAR NOSE & THROAT ASSOCIATES S.C. is an otolaryngology in Peoria, IL. The provider is 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 and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. MIDWEST EAR NOSE & THROAT ASSOCIATES S.C. NPI is 1427085620. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8600 N STATE RT 91
STE 300
PEORIA, IL
ZIP 61615
Phone: (309) 691-6616
Fax: (309) 691-2943

The provider's authorized official is Jan L Gold .
The authorized official title is Office Administrator and has the following contact phone number (309) 691-6359.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 4/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.