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Parkview Ear, Nose & Throat Clinic, S.c.
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Pekin, Illinois
NPI 1942310081

Parkview Ear, Nose & Throat Clinic, S.c. is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in Pekin, IL and is specialized in Plastic Surgery within the Head & Neck. Parkview Ear, Nose & Throat Clinic, S.c. practices in Pekin, IL. The NPI Number for Parkview Ear, Nose & Throat Clinic, S.c. is 1942310081 and holds a License No. (Illinois).

The current practice location address for Parkview Ear, Nose & Throat Clinic, S.c. is 112 Park Ridge Ln, Pekin, IL and can be reached out via phone at 309-347-5946 and via fax at 309-347-2755. You can also correspond with Parkview Ear, Nose & Throat Clinic, S.c. through the mailing address at 112 PARK RIDGE LN, PEKIN, IL - 61554-3900 (mailing address contact number: 309-347-5946).

Location: 112 Park Ridge Ln, Pekin, IL, 61554-3900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942310081
Provider Name
Parkview Ear, Nose & Throat Clinic, S.c.
Credential
Provider Entity Type
Organization
Address
112 Park Ridge Ln, Pekin, IL, 61554-3900
Phone Number
309-347-5946
Fax Number
309-347-2755
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9032056 01 IL BLUE SHEILD PROVIDER #
IL101 01 IL JOHN DEERE
institution
Provider Business Practice Location Address Details
Address
112 Park Ridge Ln
City
Pekin
State
Illinois
Zip
61554-3900
Phone Number
309-347-5946
Fax Number
309-347-2755
person
Provider Business Mailing Address Details
Address
112 Park Ridge Ln
City
Pekin
State
Illinois
Zip
61554-3900
Phone Number
309-347-5946
Fax Number
309-347-2755
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
(Illinois)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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