Illinois Valley Ear, Nose & Throat Associates, Inc.
LBN: Illinois Valley Ear, Nose & Throat Associates, Inc.
Illinois Valley Ear, Nose & Throat Associates, Inc. is an health care organization with primary practice located at 4231 Progress Blvd Ste 2 , Peru IL 61354-1193. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty.
Illinois Valley Ear, Nose & Throat Associates, Inc. can be contacted via phone (815) 224-0082, or through Mamikoglu, Bulent via phone (815) 224-0082.
Contact Information
Primary practice address
4231 Progress Blvd Ste 2
Peru IL 61354-1193
Phone: (815) 224-0082
Fax: (815) 224-1071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ||
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 336-079161 | Illinois |
Profile Details
| NPI number | 1316163926 |
|---|---|
| LBN Legal business name | Illinois Valley Ear, Nose & Throat Associates, Inc. |
| DBA Doing business as | |
| Authorized official | Mamikoglu, Bulent Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jan 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316163926 | NPPES |
| Illinois | MEDICAID | 036117864-1 |
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