OrganizationActive
Ear, Nose & Throat Institute of Southern Illinois Ltd.
NPI 1235359902 · Otolaryngology Physician · Highland, IL
Provider details
- NPI number
- 1235359902
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Lee, Secretary(618) 235-3687
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1520 9th St
Suite 110
Highland, IL 62249-1677
Phone: (618) 235-3687
Fax: (618) 239-9492
Street-level locationGet directions
Mailing address
19 Wolf Creek Dr
Swansea, IL 62226-2355
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.