| NPI | 1083855811 |
|---|---|
| Former Legal Business Name | ALLERGY & CL IMMUNOLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | NINA THOMPSON Office Manager 708-344-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036-050567) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 085-001419) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |