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14D1012375 CLIA NUMBER - SUBURBAN EAR NOSE & THROAT ASSOC LLC

Laboratory Demographics

CLIA Number: 14D1012375

Facility Name: SUBURBAN EAR NOSE & THROAT ASSOC LLC

Facility Address:
880 W CENTRAL ROAD - SUITE 7200
ARLINGTON HEIGHTS, IL
ZIP 60005
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Facility Phone Number: 847 259-2530

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1427148329

Taxonomy: 207Y00000X - Otolaryngology
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.

CLIA Record

Field Name Field Value
CLIA Number 14D1012375
LAB Type Physician Office
Facility Name SUBURBAN EAR NOSE & THROAT ASSOC LLC
Street 880 W CENTRAL ROAD - SUITE 7200
City ARLINGTON HEIGHTS
State IL
ZIP 60005
Phone 847 259-2530
CertificateType 4
CertificateEffectiveDate 5/9/2023
CertificateExpirationDate 5/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024