Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SANDRA LYNN ETTEMA, M.D., PH.D.
ActiveDR. SANDRA LYNN ETTEMA, M.D., PH.D. is a Otolaryngology healthcare provider located in MATTOON, Illinois. NPI 1760577902 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · MATTOON, IL
Registration Details
- NPI Number
- 1760577902
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2006 (19.881416546854 yrs)
- Last Updated
- Nov 8, 2024
- License
-
036.118460 (IL)
Practice Information
- Address
-
1005 HEALTH CENTER DR STE 201MATTOON, IL, 619384653Browse IL providers · Browse ZIP 61938
- Phone
- 2172582409
- Fax
- 2172582323
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| MICHAEL SMITH | M.D. | 1215043971 |
| DR. HARRY ROBERT BOROVIK | M.D. | 1780767681 |
| DR. ANAND PONNAPPAN | MD | 1629124243 |
| DR. MARY ELIZABETH GORMAN | M.D. | 1063636041 |
| LORI CUDONE | M.D. | 1003037169 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.